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Organization
COFFMAN FAMILY CARE AND WELLNESS, PLLC
Active
Organization
COFFMAN FAMILY CARE AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA COFFMAN NURSE PRACTITIONER (OWNER)
(270) 339-7791
Entity
Organization
Contact information
Practice address
1221 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 339-7791
Mailing address
1000 THOMPSON DR, BEAVER DAM, KY 42320-9152
(270) 339-7791
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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