Individual
MRS. CRYSTAL MORAN COEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
925 S LONG DRIVE, ROCKINGHAM, NC 28379-4835
(910) 417-3000
(910) 417-3709
Mailing address
925 S LONG DRIVE, ROCKINGHAM, NC 28379-4835
(910) 417-3000
(910) 417-3709
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201905
NC
363LF0000X
Family Nurse Practitioner
Primary
201905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201905
STATE LICENSE
NC
Enumeration date
02/20/2006
Last updated
09/06/2024
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