Individual
MISHCHA M MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2800
(970) 263-5081
Mailing address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
173818
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41827546
—
CO
Enumeration date
09/04/2007
Last updated
09/02/2010
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