Individual
MRS. TENA MARIE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN CNM
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R33018
AR
163WW0101X
Ambulatory Women's Health Care Registered Nurse
M01001
AR
367A00000X
Advanced Practice Midwife
Primary
M001001
AR
Other
Enumeration date
10/16/2012
Last updated
06/10/2013
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