Mccoy, Mahalia

Mccoy, Mahalia is an individual health care provider with primary practice located at 4649 Victoria Park Ct , Fremont CA 94538-4057. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Mccoy, Mahalia can be contacted via phone (601) 946-6675.

Contact Information

Primary practice address
4649 Victoria Park Ct Fremont CA 94538-4057
Phone: (601) 946-6675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 579704 California

Profile Details

NPI number 1154885036
LBN Legal business name Mccoy, Mahalia
Credentials RN,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154885036 NPPES
California Other 579704 BOARD OF NURSING

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