Provider Demographics
NPI:1710380126
Name:COATES, ANNA NICOLE (FNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:NICOLE
Last Name:COATES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 COHASSET RD STE 310
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2239
Mailing Address - Country:US
Mailing Address - Phone:530-891-1651
Mailing Address - Fax:
Practice Address - Street 1:251 COHASSET RD STE 310
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2239
Practice Address - Country:US
Practice Address - Phone:530-891-1651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2015-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001016363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily