Individual
ADRIENNE COQUERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7924 CHESAPEAKE BLVD, NORFOLK, VA 23518-3801
(757) 587-0157
(757) 587-0074
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101033720
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005613965
—
VA
01
—
41626
SENTARA/OPTIMA
VA
01
—
440814
ANTHEM
VA
01
—
541595397
TRICARE
VA
Enumeration date
02/09/2006
Last updated
04/09/2010
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