Individual
LAURA COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 4TH ST NW, CARBON HILL, AL 35549-5044
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-122633
AL
363LA2200X
Adult Health Nurse Practitioner
1-122633
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-122633
AL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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