Coyne, Angela Ann

Coyne, Angela Ann is an individual health care provider with primary practice located at 1605 E Riverside Drive , Eagle ID 83616-6237. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Coyne, Angela Ann can be contacted via phone (208) 939-6227.

Contact Information

Primary practice address
1605 E Riverside Drive Eagle ID 83616-6237
Phone: (208) 939-6227
Fax: (208) 939-6442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-512 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-512 Idaho

Profile Details

NPI number 1538276928
LBN Legal business name Coyne, Angela Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 3rd, 2022 - 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 1538276928 NPPES
Idaho Other PA-512 LICENSE

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