Individual
HOLLY NICOLE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MERCADO ST STE 160, DURANGO, CO 81301-7309
(970) 385-9850
(970) 385-9854
Mailing address
PO BOX 802793, KANSAS CITY, MO 64180-2793
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0007012
CO
363A00000X
Physician Assistant
PA.200883
LA
363AM0700X
Medical Physician Assistant
Primary
PA.0007012
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000198602
—
CO
Enumeration date
09/20/2015
Last updated
02/09/2026
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