Individual
NICOLE R COFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1300 DIAMOND SPRINGS RD, SUITE 503, VIRGINIA BEACH, VA 23455-3645
(757) 656-1665
(757) 690-0285
Mailing address
1300 DIAMOND SPRINGS RD, SUITE 503, VIRGINIA BEACH, VA 23455-3645
(757) 656-1665
(757) 690-0285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.06937-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
0024168302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669456125
—
VA
05
—
2265883
—
OH
Enumeration date
11/30/2005
Last updated
07/07/2016
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