Individual provider · Type 1 NPI

Theresa McCoy

Licensed Practical Nurse · Warren, MI

NPI number 1386178473 Active

Practice location

13029 Georgiana Ave
Warren, MI 48089-3279

Call (313) 736-6820 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703109195 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1386178473

Theresa McCoy's National Provider Identifier is 1386178473, issued on Apr 14, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Warren, MI. The record was last updated on Apr 14, 2017.