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NPI Code Detail

MEDICARE: DENISE L COYNER CNP

MEDICARE: DENISE L COYNER CNP
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
1363L00000XNurse PractitionerRN184865OH
2363LF0000XFamily Nurse Practitioner02334-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760596951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE L COYNER CNP
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : THIRD FLOOR - BILLING SERVICES
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number : 216-361-6141
Fax Number :
Provider Business Practice Location Address
First Line : 7201 WADE PARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2765
Country : US
Telephone Number : 216-361-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 01/20/2012

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Directions to “ DENISE L COYNER CNP” Practice Location

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