Individual
MS. DENITA LYNN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3451 N BUTLER AVE, FARMINGTON, NM 87401
(505) 566-1915
(505) 566-1918
Mailing address
3451 N BUTLER AVE, FARMINGTON, NM 87401-2357
(505) 566-1915
(505) 566-1918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36785
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P6177
—
NM
Enumeration date
12/28/2006
Last updated
12/12/2007
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