Individual
TERESA F COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
751 S BASCOM AVE, PEDIATRICS DEPT, SAN JOSE, CA 95128-2604
(408) 885-5383
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(480) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
264576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN264576
—
CA
Enumeration date
03/14/2006
Last updated
07/08/2007
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