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Individual

NELLIE K COUGHLIN

Active
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Individual

NELLIE K COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8736-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221304
UNISON
OH
01
000000526146
ANTHEM
OH
05
2715904
OH
01
363957
WELLCARP
OH
01
745962
BUCKEYE
OH
01
7803841
AETNA
OH
Enumeration date
07/20/2006
Last updated
06/30/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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