Individual
ANNIE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
660 S FAIR OAKS AVE, SUNNYVALE, CA 94086-7913
(408) 489-0934
Mailing address
660 S FAIR OAKS AVE, SUNNYVALE, CA 94086-7913
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95213477
CA
Other
Enumeration date
04/17/2023
Last updated
10/27/2023
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