| NPI | 1184152225 |
|---|---|
| Former Name | THOMAS MARTIN MCCOY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027784) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRNCRNA019508) | |
| 163W00000X Registered Nurse (Licence: OH RN382689) | |
| 163W00000X Registered Nurse (Licence: OH RN.382689) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027784) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-12-21 |