Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | Q5735 | TX |
NPI | 1013181577 |
---|---|
Provider Name | Macy Alayne Whitley |
First Address | Tucson, AZ 85724-5036 |
Second Address | Tucson, AZ 85724-5036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 14/03/2017 |