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Individual
COLLIN COFFIELD
Active
Individual
COLLIN COFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12289
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12289
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8352
MN
Other
Enumeration date
07/29/2021
Last updated
08/31/2023
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