Individual provider · Type 1 NPI

Annie M. Coronado, PA

Medical Physician Assistant · Othello, WA

NPI number 1154757359 Active

Practice location

1515 E Columbia St
Othello, WA 99344-1846

Fax (509) 488-9939

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60415801 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1154757359

Annie M. Coronado, PA's National Provider Identifier is 1154757359, issued on Sep 19, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Othello, WA. The record was last updated on Mar 24, 2021.