Provider Demographics
NPI:1508167131
Name:COASTAL HOUSE CALLS INC
Entity Type:Organization
Organization Name:COASTAL HOUSE CALLS INC
Other - Org Name:COASTALNP INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ATWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-647-5227
Mailing Address - Street 1:973 SE 10TH CT
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9536
Mailing Address - Country:US
Mailing Address - Phone:954-647-5227
Mailing Address - Fax:954-380-8556
Practice Address - Street 1:973 SE 10TH CT
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9536
Practice Address - Country:US
Practice Address - Phone:954-647-5227
Practice Address - Fax:954-380-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9181925363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty