| NPI | 1609249580 |
|---|---|
| Former Name | GAYLA BREANNE COATNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9344397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000204271) |
| 163W00000X Registered Nurse (Licence: FL RN9344397) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102006-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP141259) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2024-03-17 |