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Individual

MARY ELIZABETH COLEMAN

Active
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Individual

MARY ELIZABETH COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3733M
KY
363LA2200X
Adult Health Nurse Practitioner
3733M
KY
367A00000X
Advanced Practice Midwife
Primary
3003733
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78008596
—
KY
Enumeration date
08/09/2006
Last updated
11/28/2011
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