Provider Demographics
NPI:1497822118
Name:COYNE, BILLIE KAREN (CRNP)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:KAREN
Last Name:COYNE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BILLIE
Other - Middle Name:BOWERS
Other - Last Name:COYNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:4 SILVERSTEIN BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:215-662-2050
Mailing Address - Fax:215-349-8195
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:4 SILVERSTEIN BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-2050
Practice Address - Fax:215-349-8195
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP000367B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily