Individual
ANDREA JEANNE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3838
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
R0033012
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034910A
—
OK
Enumeration date
10/06/2005
Last updated
10/26/2022
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