Individual
MS. TERESA MARIA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3535 N 27TH AVE, PHOENIX, AZ 85017-5015
(602) 764-1722
Mailing address
1723 E ELLIS DR, TEMPE, AZ 85282-7233
(480) 752-1931
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN130413
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177926
—
AZ
Enumeration date
05/09/2008
Last updated
05/09/2008
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