Individual
MRS. CATHERINE COOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
9431 HIGHWAY 403, CHARLESTOWN, IN 47111-8946
(812) 256-6391
(812) 256-6050
Mailing address
1214 SUNSHINE LN, JEFFERSONVILLE, IN 47130-6750
(812) 725-0502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4130P
KY
363LF0000X
Family Nurse Practitioner
Primary
71002616A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000316850
ANTHEM
—
01
—
7197539
AETNA
KY
05
—
78013059
—
KY
Enumeration date
01/09/2006
Last updated
12/29/2011
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