Provider Demographics
NPI:1568899565
Name:COENRAAD, ASHLYN (RN, MSN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLYN
Middle Name:
Last Name:COENRAAD
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4351 DFW TPKE
Mailing Address - Street 2:#202
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-1501
Mailing Address - Country:US
Mailing Address - Phone:469-488-4300
Mailing Address - Fax:469-488-4301
Practice Address - Street 1:4351 DFW TPKE
Practice Address - Street 2:#202
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1501
Practice Address - Country:US
Practice Address - Phone:469-488-4300
Practice Address - Fax:469-488-4301
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX757854363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics