Individual
NICOLE COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
160 BROAD ST, PROVIDENCE, RI 02903-4028
(401) 861-2403
(401) 521-1145
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00712
RI
363LF0000X
Family Nurse Practitioner
CNP2281852
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN02175
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TT02485
—
MA
Enumeration date
06/24/2015
Last updated
10/21/2021
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