Provider Demographics
NPI:1053008862
Name:MACERA, RACHELE LORRAINE (CPD, CBD)
Entity type:Individual
Prefix:
First Name:RACHELE
Middle Name:LORRAINE
Last Name:MACERA
Suffix:
Gender:F
Credentials:CPD, CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-1418
Mailing Address - Country:US
Mailing Address - Phone:517-672-9543
Mailing Address - Fax:
Practice Address - Street 1:122 S LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-1418
Practice Address - Country:US
Practice Address - Phone:517-672-9543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula