Individual
MRS. MARY ANN COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
1526 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 863-7586
Mailing address
137 JOSEY WALES DR, JARRELL, TX 76537-0730
(469) 531-2721
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1127035
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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