Ellen Rose Coffin

NPI #1124513320 in Noorvik, Alaska

Provider Information

NPI Number: 1124513320
Entity Type: Individual
Name: Ellen Rose Coffin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jun 29, 2018
Last Updated: Jun 23, 2020

Practice Location

Address: 1897 TUNDRA WAY
City: Noorvik
State: Alaska
ZIP Code: 99763-0189
Phone: (907) 636-2103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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