Individual
MARY ELIZABETH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3733M
KY
363LA2200X
Adult Health Nurse Practitioner
3733M
KY
367A00000X
Advanced Practice Midwife
Primary
3003733
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78008596
—
KY
Enumeration date
08/09/2006
Last updated
11/28/2011
Update your record
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