Type 1 individualNPI 1295651693

MACY FIELDS NP-BC

363LW0102X · MC ALPIN, FL

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 25 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
363LW0102X 363LW0102X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s