Individual
KATIE LYNN COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 E WENDOVER AVE, GREENSBORO, NC 27401-1230
(336) 937-2612
Mailing address
1150 REVOLUTION MILL DR STE 9, GREENSBORO, NC 27405-5086
(336) 937-2612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COFF-FQOGS
NC
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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