Individual
NANCY L COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
170621
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN170621
MA
Other
Enumeration date
05/13/2010
Last updated
12/05/2016
Update your record
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