Individual provider · Type 1 NPI
Diane McCoy
Licensed Practical Nurse · Gothenburg, NE
NPI number
1699179978
Active
Practice location
1116 Jefferson St
Gothenburg, NE 69138-1854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 18128 (NE) |
| Chore Provider | 372500000X | 18128 (NE) |
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.
About NPI 1699179978
Diane McCoy's National Provider Identifier is 1699179978, issued on Oct 15, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gothenburg, NE. The record was last updated on Oct 15, 2014.