Doctor Name: | KATRYNA MCCOY |
NPI Number: | 1861683534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 629 |
Business Practice Address: | 1404 S 204th St Seatac, WA - 981983346 |
Business Phone Number: | 9075436300 |
Business Fax Number: | |
Mailing Address: | Po Box 13624, DES MOINES |
State: | WA |
Postal Code: | 981981009 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |