Provider Demographics
NPI:1093166019
Name:COONS, NENITA D (RN)
Entity Type:Individual
Prefix:MRS
First Name:NENITA
Middle Name:D
Last Name:COONS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 WILDERNESS DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-4964
Mailing Address - Country:US
Mailing Address - Phone:360-556-8564
Mailing Address - Fax:
Practice Address - Street 1:3235 WILDERNESS DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-4964
Practice Address - Country:US
Practice Address - Phone:360-556-8564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00154754163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse