Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | ARNP1254032 | FL |
NPI | 1043240237 |
---|---|
Provider Name | Ms. Kathleen Ann Coyle |
First Address | Gainesville, FL 32605-4524 |
Second Address | Gainesville, FL 32605-4524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 27/05/2015 |