Doctor Name: | JULIE S COFFEY |
NPI Number: | 1023249190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN284395 |
Business Practice Address: | 65 Walnut St Ste 500 Wellesley, MA - 024812112 |
Business Phone Number: | 7814312345 |
Business Fax Number: | |
Mailing Address: | 41-a Dudley Street, ARLINGTON |
State: | MA |
Postal Code: | 02476 |
Phone Number: | 7814312345 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | RN284395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |