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NPI Code Detail

MEDICARE: REBECCA COONS APRN

MEDICARE: REBECCA COONS APRN
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
1363LF0000XFamily Nurse Practitioner26NJ15478900NJ

General Provider Information

NPI Number : 1437011145
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA COONS APRN
Provider Business Mailing Address
First Line : 933 ROBIN CT
Second Line :
City : LEDGEWOOD
State : NJ
Zip : 07852-2622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 LYONS AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07112-2027
Country : US
Telephone Number : 973-926-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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