Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 53-80119 | KS |
NPI | 1003401431 |
---|---|
Provider Name | Erin Nicole Cokeley |
First Address | Hutchinson, KS 67502-1197 |
Second Address | Hutchinson, KS 67502-1197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2021 |
Last Update Date | 23/08/2021 |