Individual
CHARITY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4966 GLENWAY AVE, CINCINNATI, OH 45238-3905
(513) 242-7164
(513) 244-2160
Mailing address
4966 GLENWAY AVE, CINCINNATI, OH 45238-3905
(513) 242-7164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3010096
KY
363LF0000X
Family Nurse Practitioner
71006234A
IN
363LF0000X
Family Nurse Practitioner
Primary
COA.19008-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010096
KY LICENSE
KY
Enumeration date
06/10/2015
Last updated
09/19/2023
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