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NPI Code Detail

MEDICARE: MR. WHITNEY COFFIN JR. RN

MEDICARE: MR. WHITNEY COFFIN JR. RN
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
1163WP0809XAdult Psychiatric/Mental Health Registered NurseRN265136MA

General Provider Information

NPI Number : 1518376524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WHITNEY COFFIN JR. RN
Provider Business Mailing Address
First Line : 147 PELHAM ST
Second Line : COMFORT HOME CARE
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-685-4700
Fax Number :
Provider Business Practice Location Address
First Line : 147 PELHAM ST
Second Line : COMFORT HOME CARE
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-685-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

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Directions to “ MR. WHITNEY COFFIN JR. RN” Practice Location

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