person
Angela Ann Coyne, PA
Medical Physician Assistant in Eagle, Idaho
NPI 1538276928

Angela Ann Coyne is a Medical Physician Assistant based in Eagle, ID and is specialized in Medical. Angela Ann Coyne practices in Eagle, ID and has the professional credentials of PA. The NPI Number for Angela Ann Coyne is 1538276928 and holds a License No. PA-512 (Idaho).

The current practice location address for Angela Ann Coyne is 1605 E Riverside Drive, Eagle, ID and can be reached out via phone at 208-939-6227 and via fax at 208-939-6442.

Location: 1605 E Riverside Drive, Eagle, ID, 83616-6237
person
Provider Profile Details
NPI Number
1538276928
Provider Name
Angela Ann Coyne
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1605 E Riverside Drive, Eagle, ID, 83616-6237
Phone Number
208-939-6227
Fax Number
208-939-6442
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA-512 01 ID LICENSE
institution
Provider Business Practice Location Address Details
Address
1605 E Riverside Drive
City
State
Zip
83616-6237
Phone Number
208-939-6227
Fax Number
208-939-6442
person
Provider Business Mailing Address Details
Address
1605 E Riverside Drive
City
State
Zip
83616-6237
Phone Number
208-939-6227
Fax Number
208-939-6442
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-512 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-512 (Idaho)
Definition
Definition to come...
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