Individual
DYLAN MACKENZIE COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1885 BAY RD, EAST PALO ALTO, CA 94303-1312
(650) 330-7400
Mailing address
216 GRAND ST, REDWOOD CITY, CA 94062-1634
(650) 773-4138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95172478
CA
363LF0000X
Family Nurse Practitioner
Primary
95015595
CA
Other
Enumeration date
07/24/2020
Last updated
03/04/2022
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