Provider Demographics
NPI:1023837408
Name:COATES, PATTRINA HARRIET
Entity type:Individual
Prefix:
First Name:PATTRINA
Middle Name:HARRIET
Last Name:COATES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-0041
Mailing Address - Country:US
Mailing Address - Phone:304-822-4097
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 41
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-0041
Practice Address - Country:US
Practice Address - Phone:304-822-4097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker