Provider Demographics
NPI:1346814340
Name:COATY, DEBRA ALYNN (RN, CNM, RXN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ALYNN
Last Name:COATY
Suffix:
Gender:F
Credentials:RN, CNM, RXN
Other - Prefix:
Other - First Name:DEB
Other - Middle Name:ALYNN
Other - Last Name:ZIELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9368 YUCCA WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7364
Mailing Address - Country:US
Mailing Address - Phone:303-868-2989
Mailing Address - Fax:
Practice Address - Street 1:8000 E PRENTICE AVE STE D10
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2728
Practice Address - Country:US
Practice Address - Phone:303-309-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0097009163WG0000X
COAPN.0002136-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice