MACY SUN


Address: 1806 9th Ave, Oakland, CA 94606-3020
Phone: 5102829683

MACY SUN (NPI# 1790313047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790313047
Entity Type Individual
Full Name MACY SUN
Credential FNP-BC
Practice Address 1806 9th Ave
Oakland
CA 94606-3020
Practice Telephone 5102829683
Mailing Telephone 5102829683
Enumeration Date 2020-03-31
Last Update Date 2020-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95006661 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1806 9TH AVE
City OAKLAND
State CA
Zip Code 94606-3020

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1336418920 Alexandra Elisabeth Brewster Counselor 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 2011-12-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1982104360 Brandi Sue Paugh Nurse Practitioner 241 N 4th St, Oakland, MD 21550-1375 2018-02-13
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Competitor

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City OAKLAND
Zip Code 94606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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