Mary Anne McCoy
Nurse Practitioner in Royal Oak, MI. Individual provider (NPI-1).
NPI number1265664320
StatusActive
Last updated in NPPESAug 21, 2009
Details
- NPI
- 1265664320
- Entity type
- Individual (NPI-1)
- Name
- Prof. Mary Anne McCoy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2009
- Last updated
- Aug 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704120507 | MI | Yes |
Practice location
3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Phone 248-898-5000
Mailing address
7225 Jackson Park DrBloomfield Hills, MI 48301-3927
Phone 248-642-4731
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