Healthcare Provider Details

I. General information

NPI: 1083290340
Provider Name (Legal Business Name): CHRISTINA DAWN COFFIELD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BURMA AVE
GILLETTE WY
82716-3426
US

IV. Provider business mailing address

623 DAHL RD
SPEARFISH SD
57783-2782
US

V. Phone/Fax

Practice location:
  • Phone: 307-688-1000
  • Fax:
Mailing address:
  • Phone: 605-642-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCP002013
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP002013
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: