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Individual

ANDREA LYNN MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3560 S 4TH ST, TERRE HAUTE, IN 47802-5540
(812) 235-8496
Mailing address
2343 COLLEGE AVE, TERRE HAUTE, IN 47803-2935
(812) 878-0465

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71013660A
IN
363LA2200X
Adult Health Nurse Practitioner
28225654A
IN
363LG0600X
Gerontology Nurse Practitioner
209025961
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
71013660A
IN

Other

Enumeration date
09/05/2022
Last updated
04/20/2023
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