Provider Demographics
NPI:1477691756
Name:MCCOY, SHARMAINE MICHELE (ACNP)
Entity Type:Individual
Prefix:MS
First Name:SHARMAINE
Middle Name:MICHELE
Last Name:MCCOY
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Gender:F
Credentials:ACNP
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Mailing Address - Street 1:3300 GALLOWS RD
Mailing Address - Street 2:ADULT OBSERVATION UNIT
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:703-776-7443
Mailing Address - Fax:703-776-7429
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:ADULT OBSERVATION UNIT
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-7443
Practice Address - Fax:703-776-7429
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2013-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167024363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care