Individual
MATTHEW PAUL COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1250 S MANUFACTURERS ROW, TRENTON, TN 38382-3632
(731) 855-7601
Mailing address
1250 S MANUFACTURERS ROW, TRENTON, TN 38382-3632
(731) 855-7601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000C76923
TN
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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