Individual
KATHERINE T COATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 E STATE ST, STE 200, EAGLE, ID 83616-6081
(208) 367-4700
(208) 367-4705
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-4700
(208) 367-4705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP276A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010135254
BLUE SHIELD
ID
05
—
004358500
—
ID
01
—
NPJA7
BLUE CROSS
ID
Enumeration date
04/05/2006
Last updated
10/03/2013
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