Provider Demographics
NPI:1518995364
Name:COFER, CAROLYN SUSAN (CRNA)
Entity Type:Individual
Prefix:MISS
First Name:CAROLYN
Middle Name:SUSAN
Last Name:COFER
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:242 9TH AVENUE DRIVE NE
Mailing Address - Street 2:INNOVATIVE ANESTHESIA MANAGEMENT
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-322-7305
Mailing Address - Fax:877-202-5093
Practice Address - Street 1:7500 SW 87TH AVE STE 101
Practice Address - Street 2:GALLOWAY ENDOSCOPY CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-595-9511
Practice Address - Fax:517-787-4146
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-07-25
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2955552367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered