Individual
MRS. ALISA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
644 OAKWOOD DR, POWELL, WY 82435-1737
(307) 254-0208
Mailing address
644 OAKWOOD DR, PO BOX 22, POWELL, WY 82435-1737
(307) 254-0208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
18707
WY
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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