Diane Marie Coughlan CRNP

NPI 1124322508 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1124322508
Gender Female
Enumeration Date 12/29/2010
Last Updated 02/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
501 S 54TH ST
PHILADELPHIA PA, 19143-1900, US
Phone (215) 748-9000
Fax
Business Location
PO BOX 827294
PHILADELPHIA PA, 19182-7294, US
Phone (866) 671-6774
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Pennsylvania
License Number RN290938L
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According to our database, Diane Marie Coughlan CRNP NPI is 1124322508, taxonomy code is 363L00000X and license number is RN290938L, license state is located at Pennsylvania. Diane Marie Coughlan CRNP physically located at 501 S 54th St, Philadelphia PA, 19143-1900. NPI Number Diane Marie Coughlan CRNP has the Individual type.

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1124322508 NPI number is provided on an as is basis without warranty of any kind. 1124322508 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Marie Coughlan CRNP are for informational purposes only.