Individual
MR. CORY COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303-3432
(765) 281-2000
Mailing address
2673 E 100 N, ANDERSON, IN 46012-9684
(765) 617-2289
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
28236674A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011414A
IN
Other
Enumeration date
08/26/2020
Last updated
08/10/2021
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