Paul, Leah Marie Coffman
Paul, Leah Marie Coffman is an sole proprietor health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Paul, Leah Marie Coffman can be contacted via phone (928) 779-3366.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (928) 779-3366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 777690 | California |
| Nursing Service Providers / Registered Nurse | 163W00000X | 191464 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 17352 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRNA1509 | Arizona |
Profile Details
| NPI number | 1013269307 |
|---|---|
| LBN Legal business name | Paul, Leah Marie Coffman |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2012 |
| Last updated | Sep 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013269307 | NPPES |
| Tennessee | Other | 4342775 | BLUE CROSS TN |
| Tennessee | MEDICAID | 196811001 | BLUE CROSS TN |
| Tennessee | Other | 1013269307 | BLUE CROSS TN |
| Tennessee | MEDICAID | 12528316 | BLUE CROSS TN |
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