Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN284395 | MA |
NPI | 1023249190 |
---|---|
Provider Name | Julie S Coffey |
First Address | Arlington, MA 02476 |
Second Address | Wellesley, MA 02481-2112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 06/08/2009 |