# BERETTA CRAFT-COFFMAN

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

## Provider details

- **NPI number:** 1285601880
- **Gender:** F
- **Credential:** P.A.-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 0010-10058 | NC | — |
| 363AS0400X | Surgical Physician Assistant | 002366 | GA | Yes |
| 363AS0400X | Surgical Physician Assistant | 0110007147 | VA | — |
| 363AS0400X | Surgical Physician Assistant | 1199 | SC | — |
| 363AS0400X | Surgical Physician Assistant | PA.0004259 | CO | — |
| 363AS0400X | Surgical Physician Assistant | PA0000001672 | TN | — |
| 363AS0400X | Surgical Physician Assistant | PA00325 | MS | — |
| 363AS0400X | Surgical Physician Assistant | PA0659 | NV | — |
| 363AS0400X | Surgical Physician Assistant | PA09999 | TX | — |
| 363AS0400X | Surgical Physician Assistant | PA2198 | NV | — |
| 363AS0400X | Surgical Physician Assistant | PA9106348 | FL | — |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 06/20/2025