Individual
MS. MARY ANN T COATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN-BC (FNP)
Contact information
Practice address
600 W MORRISON ST, SUITE 5, FAYETTE, MO 65248-1075
(660) 248-2900
(660) 248-1544
Mailing address
17651 B HWY, BOONVILLE, MO 65233-2839
(660) 882-7461
(660) 882-6093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
095341
MO
367A00000X
Advanced Practice Midwife
095341
MO
367A00000X
Advanced Practice Midwife
64090
KS
367A00000X
Advanced Practice Midwife
F001103-1
NY
Other
Enumeration date
10/18/2006
Last updated
06/03/2013
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