Individual
MS. MAIA TENEA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
4534 S 79TH ST, TACOMA, WA 98409-1011
(253) 350-3297
(253) 479-5290
Mailing address
4534 S 79TH ST, TACOMA, WA 98409-1011
(725) 780-8734
(253) 479-5290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61113017
WA
163WC0400X
Case Management Registered Nurse
RN61113017
WA
163WC1500X
Community Health Registered Nurse
Primary
RN61113017
WA
Other
Enumeration date
03/01/2023
Last updated
04/20/2026
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