Roberta McCoy, NP
Nurse Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1104875418
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1104875418
- Entity type
- Individual (NPI-1)
- Name
- Ms. Roberta McCoy
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2006
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CA 218293 | CA | Yes |
Practice location
3350 Lajolla Village Dr.San Diego, CA 92161-0001
Phone 858-552-8585 · Fax 858-642-1435
Mailing address
3350 Lajolla Village DrSan Diego, CA 92161-0001
Phone 858-552-8585 · Fax 858-642-1435
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