Individual
REBECCA NAN MCCAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
875 W MORENO AVE, COLORADO SPRINGS, CO 80905-1731
(719) 510-4803
Mailing address
4448 CANTEEN TRL, COLORADO SPRINGS, CO 80922-2520
(719) 510-4803
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0129496
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CO
Enumeration date
03/28/2019
Last updated
03/28/2019
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