Healthcare Provider Details

I. General information

NPI: 1871409425
Provider Name (Legal Business Name): CHRISTINE COFFEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

30 GUINEVERE RDG
CHESHIRE CT
06410-1517
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number108515
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: