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Miss Deidre A Coffey, FNP
Family Nurse Practitioner in South Bend, Indiana
NPI 1467747014

Deidre A Coffey is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Deidre A Coffey practices in South Bend, IN and has the professional credentials of FNP. The NPI Number for Deidre A Coffey is 1467747014 and holds a License No. 28133609A (Indiana).

The current practice location address for Deidre A Coffey is 1025 Widener Ln, South Bend, IN and can be reached out via phone at 574-335-7600 and via fax at 574-335-0734.

Location: 1025 Widener Ln, South Bend, IN, 46617-2057
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Provider Profile Details
NPI Number
1467747014
Provider Name
Deidre A Coffey
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1025 Widener Ln, South Bend, IN, 46617-2057
Phone Number
574-335-7600
Fax Number
574-335-0734
Provider Enumeration Date
06/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01056325 01 IN RR PTAN (MIAMI LOCATION)
000000878282 01 IN BCBS
000000719214 01 IN BCBS - BREMEN
000000996356 01 IN BCBS (MIAMI LOCATION)
201025560 05 IN
institution
Provider Business Practice Location Address Details
Address
1025 Widener Ln
City
State
Zip
46614
Phone Number
574-335-7600
Fax Number
574-335-0734
person
Provider Business Mailing Address Details
Address
1025 Widener Ln
City
State
Zip
46614
Phone Number
574-335-7600
Fax Number
574-335-0734
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28133609A (Indiana)
Definition
Definition to come...
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