Individual
NICOLE MARIE COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
115 AMBRIAR PLZ, AMHERST, VA 24521-4741
(434) 946-9565
Mailing address
210 HARRISON ST, LYNCHBURG, VA 24504-2315
(630) 777-5013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176841
VA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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