Individual
BERETTA CRAFT-COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0010-10058
NC
363AS0400X
Surgical Physician Assistant
Primary
002366
GA
363AS0400X
Surgical Physician Assistant
0110007147
VA
363AS0400X
Surgical Physician Assistant
1199
SC
363AS0400X
Surgical Physician Assistant
PA.0004259
CO
363AS0400X
Surgical Physician Assistant
PA0000001672
TN
363AS0400X
Surgical Physician Assistant
PA00325
MS
363AS0400X
Surgical Physician Assistant
PA0659
NV
363AS0400X
Surgical Physician Assistant
PA09999
TX
363AS0400X
Surgical Physician Assistant
PA2198
NV
363AS0400X
Surgical Physician Assistant
PA9106348
FL
Other
Enumeration date
03/02/2006
Last updated
06/20/2025
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