Doctor Name: | ANNABELLE MCCOY |
NPI Number: | 1528423803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,CDE,LDN |
License Number: | DN000407 |
Business Practice Address: | 3014 Hyland Rd Irwin, PA - 156425510 |
Business Phone Number: | 7244338002 |
Business Fax Number: | |
Mailing Address: | 3014 Hyland Rd, IRWIN |
State: | PA |
Postal Code: | 156425510 |
Phone Number: | 7244338002 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2015 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | DN000407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |