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NPI Code Detail

MEDICARE: EMILY COFFMAN

MEDICARE:   EMILY  COFFMAN
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
1164X00000XLicensed Vocational NurseVN744334CA

General Provider Information

NPI Number : 1114859741
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY COFFMAN
Provider Business Mailing Address
First Line : 659 CLAY ST
Second Line :
City : COLUSA
State : CA
Zip : 95932-2532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 929 BRIDGE ST
Second Line :
City : COLUSA
State : CA
Zip : 95932-2899
Country : US
Telephone Number : 530-458-0689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ EMILY COFFMAN ” Practice Location

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