Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fantasia Marie Macedo

Individual provider Registered Nurse · NPI 1902542616

Fantasia Marie Macedo is a Registered Nurse in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

401 W Poplar St
Walla Walla, WA 99362-2846
Phone: (509) 897-3320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN61172658 (WA)

Record details

NPI number1902542616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2022
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022

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