Individual
ANGELA ANN COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1605 E RIVERSIDE DRIVE, EAGLE, ID 83616-6237
(208) 939-6227
(208) 939-6442
Mailing address
1605 E RIVERSIDE DRIVE, EAGLE, ID 83616-6237
(208) 939-6227
(208) 939-6442
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-512
ID
363AS0400X
Surgical Physician Assistant
PA-512
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-512
LICENSE
ID
Enumeration date
08/23/2006
Last updated
11/03/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us