Individual provider · Type 1 NPI
Michelle Ayesha Macon, CRNP
Psychiatric/Mental Health Nurse Practitioner · Austin, TX
NPI number
1740614726
Active
Practice location
8715 W Highway 71 Apt 4109
Austin, TX 78735-0036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R170142 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP134596 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740614726
Michelle Ayesha Macon, CRNP's National Provider Identifier is 1740614726, issued on Aug 27, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Austin, TX. The record was last updated on Oct 4, 2023.