Individual
KRYSTAL A COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118-1859
(702) 853-3000
Mailing address
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118-1859
(702) 853-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
152405
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
APN001430
NV
Other
Enumeration date
06/14/2006
Last updated
10/05/2012
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