Coakley, Alice Greenbaum

Coakley, Alice Greenbaum is an sole proprietor health care provider with primary practice located at 3804 Executive Ave D - 1, Alexandria VA 22305-2118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coakley, Alice Greenbaum can be contacted via phone (703) 519-1725.

Contact Information

Primary practice address
3804 Executive Ave D - 1 Alexandria VA 22305-2118
Fax: (703) 519-1738
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0001165665 Virginia

Profile Details

NPI number 1518965417
LBN Legal business name Coakley, Alice Greenbaum
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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