# MR. FIEL COFREROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265832901
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN60045823 | WA | — |
| 363L00000X | Nurse Practitioner | AP61593143 | WA | Yes |

## Other

- **Enumeration date:** 08/29/2014
- **Last updated:** 08/13/2024