NICOLE COFFEY (NPI# 1437554706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437554706 |
Entity Type | Individual |
Full Name | NICOLE COFFEY |
Other Name | NICOLE GRAVEZ |
Credential | CRNP |
Practice Address |
702 Gordon Dr Exton PA 19341-1253 |
Practice Telephone | 6105135531 |
Practice Fax Number | 6105248574 |
Mailing Telephone | 6103631330 |
Mailing Fax Number | 6105248574 |
Enumeration Date | 2014-10-29 |
Last Update Date | 2020-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020829 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
020829 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5957 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1218 E Lancaster Ave, Bryn Mawr, PA 190102616 | 2153802175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699233999 | Nicole Marie Coffey | Nurse Practitioner | 115 Ambriar Plz, Amherst, VA 24521-4741 | 2019-03-05 |
1982136362 | Nicole Coffey | Behavior Technician | 3325 N University Dr, Coral Springs, FL 33065-4162 | 2017-04-03 |
1942447156 | Nicole M Coffey | Occupational Therapist | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2009-01-09 |
Street Address |
702 GORDON DR |
City | EXTON |
State | PA |
Zip Code | 19341-1253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992872030 | Robert C. Duncheskie | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-11-30 |
1770977217 | Alissa Cerny | Pediatrics | 702 Gordon Dr, Exton, PA 19341 | 2015-03-23 |
1720336043 | Jennifer Ranalli | Dietitian, Registered | 702 Gordon Dr, Exton, PA 19341-1253 | 2012-08-16 |
1831428317 | Gina Michelle Hennessy | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2009-12-14 |
1174720460 | Avani S Mehta | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2007-06-29 |
1801964648 | Jennifer O. Melnychuk | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-12-01 |
1033287552 | All Star Pediatrics, LLC | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-12-01 |
1457428682 | Bradley J. Dyer | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
Find all providers in zip 19341 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659810596 | Karyn Navin | Nurse Practitioner | 460 Creamery Way Ste 110, Exton, PA 19341-2533 | 2017-02-13 |
1427592492 | Grace Kibue | Nurse Practitioner | 106 Aberdare Ln, Exton, PA 19341-1901 | 2016-12-11 |
1396378584 | Samantha Victoria Elmer | Nurse Practitioner | 154 Exton Square Mall, Exton, PA 19341-2440 | 2020-02-17 |
1699247684 | Laura Kaufman | Nurse Practitioner | 278 Eagleview Blvd, Exton, PA 19341-1157 | 2019-01-01 |
1093286197 | Lyssa Marie Hrisko | Nurse Practitioner | 501 Thomas Jones Way, Exton, PA 19341-2531 | 2018-12-16 |
1487130233 | Jenna Nicole Tuturice | Nurse Practitioner | 154 Exton Square Parkway, Exton, PA 19341 | 2018-07-16 |
1013417039 | Erin Nicole Lender | Nurse Practitioner | 93 W Devon Dr Ste 100, Exton, PA 19341-3008 | 2018-02-16 |
1750821377 | Jenna Harkins | Nurse Practitioner | 495 Thomas Jones Way, Ste 202, Exton, PA 19341-2553 | 2017-03-01 |
1548704406 | Dawn Albright | Nurse Practitioner | 278 Eagleview Blvd, Exton, PA 19341-1157 | 2016-12-12 |
1053860015 | Jenna L Martin | Nurse Practitioner | 278 Eagleview Blvd, Exton, PA 19341 | 2016-09-30 |
Find all providers in EXTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.