Individual
HEIDI ANNE COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
781 MILL ST, RENO, NV 89502-1320
(775) 982-5000
Mailing address
780 KUENZLI ST, STE 202, RENO, NV 89502-0845
(775) 982-5068
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA781
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11461608
CAQH
NV
01
—
PA781
NV LICENSE
NV
Enumeration date
07/12/2011
Last updated
10/16/2014
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