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NPI Code Detail

MEDICARE: MS. CAROL CATHERINE COONEY RN, CDS

MEDICARE:  MS. CAROL CATHERINE COONEY  RN, CDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001053543VA

General Provider Information

NPI Number : 1063605590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL CATHERINE COONEY RN, CDS
Provider Business Mailing Address
First Line : 4625B CORONET AVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-1403
Country : US
Telephone Number : 757-460-0065
Fax Number :
Provider Business Practice Location Address
First Line : 4625B CORONET AVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-1403
Country : US
Telephone Number : 757-460-0065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2007
Last Update Date : 08/17/2007

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Directions to “ MS. CAROL CATHERINE COONEY RN, CDS” Practice Location

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