Provider Demographics
NPI:1073809174
Name:COE, CHRISTE SUE (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTE
Middle Name:SUE
Last Name:COE
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 1:1503 SYLVAN WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2407
Mailing Address - Country:US
Mailing Address - Phone:502-456-1400
Mailing Address - Fax:502-749-6841
Practice Address - Street 1:1503 SYLVAN WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2407
Practice Address - Country:US
Practice Address - Phone:502-456-1400
Practice Address - Fax:502-749-6841
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily