Individual
DEBORAH L MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 EDER AVE, WYCKOFF, NJ 07481-1146
(410) 935-6706
Mailing address
4963 WHARFF LN, ELLICOTT CITY, MD 21043-6833
(410) 935-6706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01043800
NJ
363L00000X
Nurse Practitioner
R111283
MD
Other
Enumeration date
06/30/2019
Last updated
06/01/2023
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