Individual
ANGELEA CYNTHIA COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(863) 695-6294
(803) 774-2759
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN64886
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.28226
SC
Other
Enumeration date
08/23/2021
Last updated
03/01/2024
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