Provider Demographics
NPI:1538326608
Name:COACHI, MARLENE (RN, MSN, DNP)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:
Last Name:COACHI
Suffix:
Gender:F
Credentials:RN, MSN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 W CHELTENHAM AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1049
Mailing Address - Country:US
Mailing Address - Phone:215-276-8788
Mailing Address - Fax:215-635-1076
Practice Address - Street 1:1831 W CHELTENHAM AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1049
Practice Address - Country:US
Practice Address - Phone:215-276-8788
Practice Address - Fax:215-635-1076
Is Sole Proprietor?:No
Enumeration Date:2008-05-17
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010137363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health