Individual
LISA COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2454 PINETOPS DR, WINTERVILLE, NC 28590-9410
(631) 829-1049
Mailing address
2454 PINETOPS DR, WINTERVILLE, NC 28590-9410
(631) 829-1049
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
522693
NC
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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