Provider Demographics
NPI:1669406385
Name:COGGINS, GERRI ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:GERRI
Middle Name:ANN
Last Name:COGGINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:532 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1432
Mailing Address - Country:US
Mailing Address - Phone:814-371-3616
Mailing Address - Fax:814-375-0922
Practice Address - Street 1:VA OUTPATIENT CLINIC
Practice Address - Street 2:190 WEST PARK AVE, SUITE 8
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801
Practice Address - Country:US
Practice Address - Phone:814-375-6817
Practice Address - Fax:814-375-0922
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAVP006891B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP70309Medicare UPIN