Provider Demographics
NPI:1447202478
Name:COATNEY, ANNE L (DO)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:L
Last Name:COATNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-9000
Mailing Address - Fax:253-838-6418
Practice Address - Street 1:ALLINA HEALTH URGENT CARE - APPLE VALLEY
Practice Address - Street 2:14655 GALAXIE AVE
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124
Practice Address - Country:US
Practice Address - Phone:351-241-3779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001983207Q00000X
GA068387207Q00000X
MI5315104886207Q00000X
FL13951207Q00000X
IL036131295207Q00000X
IL36131295207Q00000X
NY267643207Q00000X
MN69063207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8421794Medicaid
WA0240753OtherLIWA
WAP00650273OtherRAILROAD MEDICARE
WA8951043OtherVCR
WA8421794Medicaid
WA0240753OtherLIWA
WA8876294Medicare PIN