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Individual

MARGARET M MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD APRN

Contact information

Practice address
1907 VINTAGE WOODS COURT, SALT LAKE CITY, UT 84117
(801) 998-8012
(801) 998-8012
Mailing address
1907 VINTAGE WOODS COURT, SALT LAKE CITY, UT 84117
(801) 998-8012
(801) 998-8012

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2036204405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107001405101
INTRMTN. HEALTH CARE
UT
01
2621242
DESERET MUTUAL
UT
01
500012492
RAILROAD MEDICARE
UT
01
942938348MC4
EDUCATORS MUTUAL
UT
01
S42099
MEDICARE ADVANTAGE PLAN
UT
Enumeration date
11/25/2005
Last updated
08/08/2012
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