Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 930148 | NC |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 106901 | NC |
NPI | 1225393879 |
---|---|
Provider Name | Kristi Lynn Coe |
First Address | Greensboro, NC 27408-7021 |
Second Address | Greensboro, NC 27408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 02/08/2018 |