Individual
SHAWNA L COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(311) 578-7520
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
482795
NY
363A00000X
Physician Assistant
383097
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383097
NY
Other
Enumeration date
02/23/2021
Last updated
10/01/2024
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