Provider Demographics
NPI:1750897732
Name:MCCOY, SLOAN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SLOAN
Middle Name:
Last Name:MCCOY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SLOAN
Other - Middle Name:COURTNEY
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13950 BRANDYWINE RD STE 125
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-5815
Mailing Address - Country:US
Mailing Address - Phone:301-782-2220
Mailing Address - Fax:301-782-2221
Practice Address - Street 1:13950 BRANDYWINE ROAD
Practice Address - Street 2:SUITE 125
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613
Practice Address - Country:US
Practice Address - Phone:301-782-2220
Practice Address - Fax:301-782-2221
Is Sole Proprietor?:No
Enumeration Date:2017-12-28
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR225110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine