Provider Demographics
NPI:1659922102
Name:SAPP-COTE, ASHLEY (LVN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SAPP-COTE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9835 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:76227-5401
Mailing Address - Country:US
Mailing Address - Phone:469-352-1314
Mailing Address - Fax:
Practice Address - Street 1:9835 BIRCH DR
Practice Address - Street 2:
Practice Address - City:PROVIDENCE VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:76227-5401
Practice Address - Country:US
Practice Address - Phone:469-352-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX350636164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse