Provider Demographics
NPI:1023528536
Name:COFFEE, ZHANETTE HOPE (FNP-C, MSN, BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:ZHANETTE
Middle Name:HOPE
Last Name:COFFEE
Suffix:
Gender:F
Credentials:FNP-C, MSN, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 S HICKORY ST STE 1114
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4359
Mailing Address - Country:US
Mailing Address - Phone:760-704-9429
Mailing Address - Fax:
Practice Address - Street 1:215 S. HICTORY ST
Practice Address - Street 2:SUITE 114
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-704-9429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95116279163WC0200X
CA95011893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine