| NPI | 1356059554 |
|---|---|
| Former Name | REBECCA ANN COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R256649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD RN256649) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-01-09 |