Doctor Name: | AMY R COFFMAN |
NPI Number: | 1386759686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 54362 |
Business Practice Address: | 21 Auction Ln Buckhannon, WV - 262018968 |
Business Phone Number: | 3044726041 |
Business Fax Number: | 3044724371 |
Mailing Address: | 21 Auction Lane, BUCKHANNON |
State: | WV |
Postal Code: | 26218 |
Phone Number: | 3044726041 |
Fax Number: | 3044724371 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 06/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 54362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |