Individual
DR. STEFANIE R COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
35 MULLINS DR STE 2, LEBANON, OR 97355-3985
(541) 451-7915
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201392013NP-PP
OR
363L00000X
Nurse Practitioner
ARNP1698822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303482800
—
FL
Enumeration date
05/25/2006
Last updated
03/12/2021
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