Individual provider · Type 1 NPI
Maura C. Coburn, NP
Pediatric Nurse Practitioner · Bronx, NY
NPI number
1881150167
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Mailing address
217 51st Ave Apt 511
Long Island City, NY 11101-5870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 688228 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382939 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1881150167
Maura C. Coburn, NP's National Provider Identifier is 1881150167, issued on Feb 12, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Apr 26, 2021.