Organization
COFFMAN FAMILY CARE AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA COFFMAN NURSE PRACTITIONER (OWNER)
(270) 339-7791
Entity
Organization
Contact information
Practice address
1221 N MAIN ST, BEAVER DAM, KY 42320-8955
(270) 339-7791
Mailing address
1000 THOMPSON DR, BEAVER DAM, KY 42320-9152
(270) 339-7791
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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