IndividualActive
Charles Mccoy
NPI 1356046262 · Nurse's Aide · Milwaukee, WI
Provider details
- NPI number
- 1356046262
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
8096 W Potomac Ave
Milwaukee, WI 53218-4563
Phone: (414) 975-4448
Approximate (ZIP-level) locationGet directions
Mailing address
4230 N Oakland Ave # 149
Shorewood, WI 53211-2042
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2023-03-31
- Certified
- 2023-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.