Healthcare Provider Details
I. General information
NPI: 1477348761
Provider Name (Legal Business Name): COASTAL WELL WOMAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
334 S PATTERSON AVE STE 201
SANTA BARBARA CA
93111-2400
US
IV. Provider business mailing address
334 S PATTERSON AVE STE 201
SANTA BARBARA CA
93111-2400
US
V. Phone/Fax
- Phone: 805-455-4425
- Fax: 805-259-4016
- Phone: 805-455-4425
- Fax: 805-259-4016
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SW0102X |
| Taxonomy | Women's Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
MARTHA
ABRIGNANI
Title or Position: OWNER AND PROVIDER
Credential: NP
Phone: 805-455-4425