Individual
MICHELLE LEE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNOR,RNFA
Contact information
Practice address
900 N 1ST ST, SPRINGFIELD, IL 62702-3749
(217) 528-7541
(217) 541-7683
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041338928
IL
Other
Enumeration date
08/31/2018
Last updated
09/28/2018
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