Individual
DENISE L COYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7201 WADE PARK AVE, CLEVELAND, OH 44103-2765
(216) 361-6141
Mailing address
24701 EUCLID AVE, THIRD FLOOR - BILLING SERVICES, EUCLID, OH 44117-1714
(216) 361-6141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN184865
OH
363LF0000X
Family Nurse Practitioner
Primary
02334-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2448800
—
OH
Enumeration date
08/18/2006
Last updated
01/20/2012
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