Individual
PATRICIA MARIE COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN298909
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN353268L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000497927
ANTHEM BCBS
OH
05
—
2707173
—
OH
01
—
P00376044
MEDICARE RAILROAD
OH
Enumeration date
11/27/2006
Last updated
02/23/2021
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