Coley, Andrea Dawn

Coley, Andrea Dawn is an individual health care provider with primary practice located at 46198 Deadend Ln , Heavener OK 74937-8244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coley, Andrea Dawn can be contacted via phone (254) 498-8574.

Contact Information

Primary practice address
46198 Deadend Ln Heavener OK 74937-8244
Phone: (254) 498-8574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 205839 Oklahoma

Profile Details

NPI number 1750034021
LBN Legal business name Coley, Andrea Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 2 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 1750034021 NPPES
Oklahoma Other 205839 APRN LICENSE

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