Individual provider · Type 1 NPI

Mary Anne McCoy

Nurse Practitioner · Royal Oak, MI

NPI number 1265664320 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

7225 Jackson Park Dr
Bloomfield Hills, MI 48301-3927

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704120507 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265664320

Mary Anne McCoy's National Provider Identifier is 1265664320, issued on Aug 21, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Royal Oak, MI. The record was last updated on Aug 21, 2009.