Individual provider · Type 1 NPI
Diane Marie Coughlan, CRNP
Nurse Practitioner · Philadelphia, PA
Practice location
1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Fax (629) 240-6003
Mailing address
5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Other practice locations
- 4115 Chichester Ave, Upper Chichester, PA 19061-3139 · (610) 484-4422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP011208 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124322508
Diane Marie Coughlan, CRNP's National Provider Identifier is 1124322508, issued on Dec 29, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 22, 2026.