Individual
MS. CONNIE L COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-6255
(614) 293-8518
Mailing address
7566 N. LA CHOLLA BLVD SUITE A ARIZONA GASTROENTEROLOGY, TUCSON, AZ 85741
(520) 742-4139
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP9013
AZ
363LA2200X
Adult Health Nurse Practitioner
COA11813NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090668
—
OH
Enumeration date
08/03/2010
Last updated
06/28/2018
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