Individual
KRISTINE COFFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 MOUNTAIN BLVD, OAKLAND, CA 94611-2806
(510) 368-7500
Mailing address
2017 MOUNTAIN BLVD, OAKLAND, CA 94611-2806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95035748
CA
Other
Enumeration date
10/25/2025
Last updated
10/30/2025
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