Provider Demographics
NPI:1952058372
Name:SCHORNO, MACY ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:MACY
Middle Name:ANN
Last Name:SCHORNO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 N PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-9475
Mailing Address - Country:US
Mailing Address - Phone:509-306-1898
Mailing Address - Fax:
Practice Address - Street 1:2302 W DOLARWAY RD STE 3
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-8081
Practice Address - Country:US
Practice Address - Phone:506-566-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61188767363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily