Alice Greenbaum Coakley FNP

NPI 1518965417 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1518965417
Gender Female
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3804 EXECUTIVE AVE
D - 1
ALEXANDRIA VA, 22305-2118, US
Phone (703) 519-1725
Fax (703) 519-1738
Business Location
3804 EXECUTIVE AVE
D - 1
ALEXANDRIA VA, 22305-2118, US
Phone (703) 519-1725
Fax (703) 519-1738
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0001165665
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According to our database, Alice Greenbaum Coakley FNP NPI is 1518965417, taxonomy code is 363LF0000X and license number is 0001165665, license state is located at Virginia. Alice Greenbaum Coakley FNP physically located at 3804 Executive Ave, Alexandria VA, 22305-2118. NPI Number Alice Greenbaum Coakley FNP has the Individual type.

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1518965417 NPI number is provided on an as is basis without warranty of any kind. 1518965417 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Greenbaum Coakley FNP are for informational purposes only.