Individual
BRIGETTE MARIE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-S
Contact information
Practice address
323 E RIVERSIDE DR STE 224, EAGLE, ID 83616-6865
(208) 302-6000
(208) 302-6055
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
51024
ID
363L00000X
Nurse Practitioner
Primary
74807
ID
Other
Enumeration date
10/27/2021
Last updated
02/20/2023
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