Individual provider · Type 1 NPI
Douglas McCoy, CPNP
Pediatric Nurse Practitioner · Bridgeport, CT
NPI number
1083020051
Active
Practice location
46 Albion St.
Bridgeport, CT 06605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20141527 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1083020051
Douglas McCoy, CPNP's National Provider Identifier is 1083020051, issued on Jul 10, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 10, 2014.