Individual
CAROLINE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3699 EPWORTH RD, NEWBURGH, IN 47630-8909
(812) 471-1200
Mailing address
3699 EPWORTH RD, NEWBURGH, IN 47630-8909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71009952A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71009952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71009952A
MEDICAL LICENSE
IN
Enumeration date
04/09/2020
Last updated
07/14/2023
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