Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00501500 | NJ |
NPI | 1043626567 |
---|---|
Provider Name | Ms. Christine Coyle |
First Address | Howell, NJ 07731-2347 |
Second Address | Freehold, NJ 07728-3258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 03/07/2014 |