Provider Demographics
NPI:1184437980
Name:COFFIN, ANNA REBECCA SANBORN
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:REBECCA SANBORN
Last Name:COFFIN
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 1:121 BATES FARM RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VT
Mailing Address - Zip Code:05477-9131
Mailing Address - Country:US
Mailing Address - Phone:802-881-3349
Mailing Address - Fax:
Practice Address - Street 1:121 BATES FARM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VT
Practice Address - Zip Code:05477-9131
Practice Address - Country:US
Practice Address - Phone:802-881-3349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant