Provider Demographics
NPI:1184967630
Name:MCCOY, NATASHA L (CNM)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:L
Last Name:MCCOY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:RENAULT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4439 STATE ROUTE 159 STE 120
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8207
Mailing Address - Country:US
Mailing Address - Phone:407-797-2017
Mailing Address - Fax:
Practice Address - Street 1:4439 STATE ROUTE 159 STE 120
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8207
Practice Address - Country:US
Practice Address - Phone:740-779-7201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH319232163W00000X
OH13403367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse