Mccoy, Denita Lynn
Mccoy, Denita Lynn is an individual health care provider with primary practice located at 3451 N Butler Ave , Farmington NM 87401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccoy, Denita Lynn can be contacted via phone (505) 566-1915.Contact Information
Primary practice address
3451 N Butler Ave
Farmington NM 87401
Phone: (505) 566-1915
Fax: (505) 566-1918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R36785 | New Mexico |
Profile Details
| NPI number | 1134285778 |
|---|---|
| LBN Legal business name | Mccoy, Denita Lynn |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Dec 12th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134285778 | NPPES |
| New Mexico | MEDICAID | P6177 |
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