Provider Demographics
NPI:1245043439
Name:MCCOY, MALIKA SADIYAH (FNP-C)
Entity type:Individual
Prefix:MS
First Name:MALIKA
Middle Name:SADIYAH
Last Name:MCCOY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2405
Mailing Address - Country:US
Mailing Address - Phone:480-860-2345
Mailing Address - Fax:
Practice Address - Street 1:14014 N 32ND PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-5301
Practice Address - Country:US
Practice Address - Phone:602-758-2851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program