Doctor Name: | ROSALY COOMBS |
NPI Number: | 1659488781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 102277 |
Business Practice Address: | 345 Cleveland St Meeker, CO - 816413238 |
Business Phone Number: | 9708784014 |
Business Fax Number: | 9708789262 |
Mailing Address: | 345 Cleveland St, MEEKER |
State: | CO |
Postal Code: | 816413238 |
Phone Number: | 9708784014 |
Fax Number: | 9708789262 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 102277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |