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NPI Code Detail

MEDICARE: MRS. JULIE D MCCOY CRNA

MEDICARE: MRS. JULIE D MCCOY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1-130167AL
2367500000XCertified Registered Nurse AnesthetistRN125954TN
3367500000XCertified Registered Nurse AnesthetistRN123552GA
4367500000XCertified Registered Nurse AnesthetistAPN11396TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14070630OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023083912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE D MCCOY CRNA
Provider Business Mailing Address
First Line : PO BOX 2544
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35804-2544
Country : US
Telephone Number : 706-483-1634
Fax Number :
Provider Business Practice Location Address
First Line : 101 SIVLEY RD SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4470
Country : US
Telephone Number : 256-265-1000
Fax Number : 256-265-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 08/07/2025

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