Healthcare Provider Details

I. General information

NPI: 1750046421
Provider Name (Legal Business Name): AARON COATES FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2021
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 HANOVER DR
CHILLICOTHEE OH
45601-1091
US

IV. Provider business mailing address

17273 OH-104 CHILLICOTHE VA MEDICAL CENTER
CHILLICOTHEE OH
45601-7065
US

V. Phone/Fax

Practice location:
  • Phone: 740-703-1352
  • Fax:
Mailing address:
  • Phone: 740-773-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLE-00037432
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: