Individual
REBECCA J COCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4000 N MICHIGAN RD, DIMONDALE, MI 48821-9744
(517) 646-6258
Mailing address
21333 HAGGERTY RD, STE 150, NOVI, MI 48375-5510
(248) 662-0250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704170853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1594661
—
LA
05
—
2607932
—
OH
01
—
P00249348
RR MEDICARE
MI
01
—
P00274198
RR MCARE
IL
Enumeration date
05/10/2006
Last updated
07/08/2007
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