NPI | 1285771295 |
---|---|
Former Name | NANCY LEE COFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3004520) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3995) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-03-07 |