| Doctor Name: | MRS. COETTA LYNN NEECE |
| NPI Number: | 1578800967 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 0024170561 |
| Business Practice Address: | 18334 Riverside Drive Grundy, VA - 24614 |
| Business Phone Number: | 2765976326 |
| Business Fax Number: | 2765976300 |
| Mailing Address: | P.o. Box 301, NORA |
| State: | VA |
| Postal Code: | 24272 |
| Phone Number: | 2765976326 |
| Fax Number: | 2765976300 |
| NPI Enumeration Date: | 01/07/2013 |
| NPI Last Update Date: | 12/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024170561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |