SearchNebraska164W00000X

Diane Mccoy

NPI 1699179978 · on the registry since 2014

Practice

Address
1116 Jefferson St
Gothenburg, NE 69138
Phone
(308) 529-1368

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
372500000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska