Individual
MRS. NITAYA REYES MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2460 CURTIS ELLIS DR, NASH-UNC HEALTH CARE SYSTEMS WOMEN'S CENTER, ROCKY MOUNT, NC 27804-2237
(252) 962-5127
Mailing address
5741 GARNET MEADOW RD, KNIGHTDALE, NC 27545-5601
(919) 610-1069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231671
NC
174N00000X
Lactation Consultant (Non-RN)
Primary
L99080
NC
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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