Individual
MRS. ALEXIYAH ROSE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, WHNP-BC, IBCLC
Contact information
Practice address
908 WINDSOR ST, SUN PRAIRIE, WI 53590-2023
(414) 249-4420
(844) 222-7213
Mailing address
W3980 STATE ROAD 33, CAMBRIA, WI 53923-9719
(608) 330-1755
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
259862
WI
174N00000X
Lactation Consultant (Non-RN)
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
16436-33
WI
Other
Enumeration date
06/12/2017
Last updated
02/01/2025
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