Provider Demographics
NPI:1033823265
Name:COFFIN, LAURA MEGAN (APRN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MEGAN
Last Name:COFFIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 HEALD WAY STE 208
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32163-6000
Mailing Address - Country:US
Mailing Address - Phone:352-399-7301
Mailing Address - Fax:
Practice Address - Street 1:340 HEALD WAY STE 208
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32163-6000
Practice Address - Country:US
Practice Address - Phone:352-399-7301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily