Provider Demographics
NPI:1447730486
Name:COFFEY, COURTNEY E (APRN-CNM)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:E
Last Name:COFFEY
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ALUMNI DR STE 401
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2135
Mailing Address - Country:US
Mailing Address - Phone:603-778-0557
Mailing Address - Fax:603-778-1669
Practice Address - Street 1:3 ALUMNI DR STE 401
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2135
Practice Address - Country:US
Practice Address - Phone:603-778-0557
Practice Address - Fax:603-778-1669
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH070519-23367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH070519-23OtherSTATE OF NH