Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marty Elijah Malloy-McCoy, APRN, CRNA, CNP

Individual provider Family Nurse Practitioner · NPI 1184152225

Marty Elijah Malloy-McCoy, APRN, CRNA, CNP is a Family Nurse Practitioner in Newark, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
6
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4226
Fax: (220) 564-4226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 W State St, Columbus, OH 43215-4008 — (614) 285-4250

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.019508 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0027784 (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRNCRNA019508 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN382689 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.382689 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0027784 (OH)

Record details

NPI number1184152225
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , CRNA , CNP
Sole proprietorYes
NPI enumeratedJune 2, 2017
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

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