Individual
ANNELLA MAE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2505 OLYMPIC HWY N, SUITE 400, SHELTON, WA 98584-2974
(360) 426-2933
(360) 426-1409
Mailing address
PO BOX 1334, HOODSPORT, WA 98548-1334
(360) 877-6176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006691
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641069
—
WA
Enumeration date
11/02/2006
Last updated
04/06/2011
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