Individual
ANNIE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, CHOP NEWBORN CARE AT PENNSYLVANIA HOSPITAL, PHILADELPHIA, PA 19107-6130
(215) 829-5070
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014868
PA
363LN0000X
Neonatal Nurse Practitioner
SP014868
PA
Other
Enumeration date
07/08/2015
Last updated
09/24/2015
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