Diane Mccoy
NPI #1699179978 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1699179978
- Entity Type
- Individual
- Name
- Diane Mccoy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 15, 2014
- Last Updated
- Oct 15, 2014
Practice Location
- Address
- 1116 JEFFERSON ST
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-1854
- Phone
- (308) 529-1368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Chore Provider |
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