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Individual

HEATHER MARIE MACPHAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
343008
NY
363LF0000X
Family Nurse Practitioner
343008
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05351813
NY
Enumeration date
07/16/2018
Last updated
05/21/2021
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