Individual
TONYA COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
94 WEST MAIN ST, SANTAQUIN, UT 84655
(801) 754-3122
Mailing address
94 WEST MAIN ST, SANTAQUIN, UT 84655
(801) 754-3122
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
6561651-3102
UT
363L00000X
Nurse Practitioner
6561651-8900
UT
363LF0000X
Family Nurse Practitioner
Primary
6561651-4405
UT
Other
Enumeration date
10/08/2019
Last updated
07/13/2023
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