Individual provider · Type 1 NPI
Debra Innes Coyle, APRN
Gerontology Nurse Practitioner · Southington, CT
NPI number
1396977997
Active
Practice location
85 Huckleberry Ln
Southington, CT 06489-4319
Mailing address
20 York St
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 001643 (CT) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1396977997
Debra Innes Coyle, APRN's National Provider Identifier is 1396977997, issued on Aug 14, 2009. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Southington, CT. The record was last updated on Aug 14, 2009.