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Individual
SANDRA MARY COUGHLIN
Active
Individual
SANDRA MARY COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
F-350220-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F-350220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F350220-1
LICENSE
NY
Enumeration date
05/21/2007
Last updated
04/11/2023
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