| NPI | 1740824895 |
|---|---|
| Former Name | CHRISTY TIMOTHEA COFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 71012767A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.464769) |
| 163W00000X Registered Nurse (Licence: IN 28246265A) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025360) | |
| 363L00000X Nurse Practitioner (Licence: IN 71012767A) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-01-04 |