Individual
COLLIN COFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12289
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12289
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
8352
MN
Other
Enumeration date
07/29/2021
Last updated
08/31/2023
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