Provider Demographics
NPI:1497023873
Name:MACY, ERIN D (APRN)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:D
Last Name:MACY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:DANIELLE
Other - Last Name:MACY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:9080 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1750
Mailing Address - Country:US
Mailing Address - Phone:502-499-9998
Mailing Address - Fax:
Practice Address - Street 1:9080 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1750
Practice Address - Country:US
Practice Address - Phone:502-499-9998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily