Individual
ELIZABETH ANN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208
(304) 226-5725
(304) 226-3274
Mailing address
415 MAIN ST, SUMMERSVILLE, WV 26651-1343
(304) 872-1663
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64640
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023145
—
WV
Enumeration date
04/05/2012
Last updated
01/31/2025
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