Provider Demographics
NPI:1871830257
Name:COATS, DEBRA C (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:C
Last Name:COATS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:CLEMENTS
Other - Last Name:COATS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:227 LAKEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9750
Mailing Address - Country:US
Mailing Address - Phone:724-832-5851
Mailing Address - Fax:724-832-5851
Practice Address - Street 1:1225 S MAIN STREET
Practice Address - Street 2:SUITE 207
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-221-8847
Practice Address - Fax:724-217-8410
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-06
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012230363L00000X, 363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily