Individual
ELIZABETH MAUREEN COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316-3123
(763) 236-0600
Mailing address
417 14TH AVE N, HOPKINS, MN 55343-7218
(763) 219-2152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8512
MN
Other
Enumeration date
11/01/2021
Last updated
12/21/2021
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