Individual provider · NPI-1

Chelsey Rae Macedo, NP

Nurse Practitioner, Gerontology · Winston Salem, NC

NPI number1700402674
StatusActive
Last updated in NPPESOct 21, 2021

Details

NPI
1700402674
Entity type
Individual (NPI-1)
Name
Ms. Chelsey Rae Macedo
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2020
Certification date
Oct 21, 2021
Last updated
Oct 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology5013215NCYes
163WG0600X Registered Nurse, Gerontology277814NC

Practice location

4692 Brownsboro Rd
Winston Salem, NC 27106-3410

Phone 336-251-1114

Mailing address

4692 Brownsboro Rd
Winston Salem, NC 27106-3410

Phone 336-251-1114

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