Provider Demographics
NPI:1598875890
Name:MACARI, MARY A (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:A
Last Name:MACARI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 5TH AVE N STE 304
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1425
Mailing Address - Country:US
Mailing Address - Phone:727-820-7708
Mailing Address - Fax:727-820-7768
Practice Address - Street 1:1201 5TH AVE N STE 304
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1425
Practice Address - Country:US
Practice Address - Phone:727-820-7708
Practice Address - Fax:727-820-7768
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1535042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily