Coughlan, Leslie Fagan

Coughlan, Leslie Fagan is an individual health care provider with primary practice located at 706 Whispering Pines Rd , Boynton Beach FL 33435-8139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Coughlan, Leslie Fagan can be contacted via phone (561) 427-4151.

Contact Information

Primary practice address
706 Whispering Pines Rd Boynton Beach FL 33435-8139
Phone: (561) 427-4151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2824032 Florida

Profile Details

NPI number 1881795342
LBN Legal business name Coughlan, Leslie Fagan
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 11th, 2012 - about 12 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 1881795342 NPPES
Florida MEDICAID 304450500

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