Doctor Name: | MRS. EULA A COLEMAN |
NPI Number: | 1104871714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APO3666 |
Business Practice Address: | 2106 Loop Rd Winnsboro, LA - 712953344 |
Business Phone Number: | 3184359411 |
Business Fax Number: | |
Mailing Address: | 2104 Loop Rd Ste C, WINNSBORO |
State: | LA |
Postal Code: | 712953341 |
Phone Number: | 3184354571 |
Fax Number: | 3184353842 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APO3666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |