Coggins, Nicole

Coggins, Nicole is an individual health care provider with primary practice located at 160 Broad St , Providence RI 02903-4028. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Coggins, Nicole can be contacted via phone (401) 861-2403.

Contact Information

Primary practice address
160 Broad St Providence RI 02903-4028
Phone: (401) 861-2403
Fax: (401) 521-1145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP2281852 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN02175 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN00712 Rhode Island

Profile Details

NPI number 1356723548
LBN Legal business name Coggins, Nicole
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Oct 21st, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356723548 NPPES
Massachusetts MEDICAID TT02485

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