| Doctor Name: | MS. PATRICIA ANN COBURN |
| NPI Number: | 1073655155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 13-67659-101 |
| Business Practice Address: | 700 24th St Kenner Army Health Clinic Fort Lee, VA - 238011716 |
| Business Phone Number: | 8047349942 |
| Business Fax Number: | 8778741008 |
| Mailing Address: | 700 24th St, Kenner Army Health Clinic FORT LEE |
| State: | VA |
| Postal Code: | 238011716 |
| Phone Number: | 8047349942 |
| Fax Number: | 8778741008 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 05/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 13-67659-101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |