Individual
BENAE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4149 MEADOW GREEN DR, SYLVANIA, OH 43560-3836
(419) 340-2469
Mailing address
4149 MEADOW GREEN DR, SYLVANIA, OH 43560-3836
(419) 340-2469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704373291
MI
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP0039017
OH
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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