Individual
MS. SANDRA GAIL KOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10 CENTER DRIVE, BLDG 10/6C 306, BETHESDA, MD 20892-1584
(301) 496-4411
(301) 637-0237
Mailing address
10 CENTER DRIVE, BLDG 10/6C 306, BETHESDA, MD 20892-1584
(301) 496-4411
(301) 637-0237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010128455
—
VA
Enumeration date
12/20/2006
Last updated
02/07/2012
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