Doctor Name: | MRS. CAROLINE ALISE MACELROY |
NPI Number: | 1548645237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-PC |
License Number: | AP128601 |
Business Practice Address: | 800 W Highway 290 Ste B400 Dripping Springs, TX - 786204178 |
Business Phone Number: | 5128587474 |
Business Fax Number: | 5128587440 |
Mailing Address: | 800 W Highway 290 Ste B400, DRIPPING SPRINGS |
State: | TX |
Postal Code: | 786204178 |
Phone Number: | 5128587474 |
Fax Number: | 5128587440 |
NPI Enumeration Date: | 07/23/2015 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AP128601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |