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Organization

COLEMAN HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA L SCHWARTZ PHD, FNP, FAAN (PRESIDENT)
(307) 413-2050
Entity
Organization

Contact information

Practice address
3123 N SPRING VALLEY RD, #50146, PARKS, AZ 86018-0146
(307) 413-2050
Mailing address
PO BOX 50146, PARKS, AZ 86018-0146
(307) 413-2050

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
27354.1007
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073656120
INDIVIDUAL NPI
WY
Enumeration date
06/27/2011
Last updated
05/23/2018
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