Provider Demographics
NPI:1356803860
Name:COATS, KARI (APRN-CPNP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:COATS
Suffix:
Gender:F
Credentials:APRN-CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 E LOHMAN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8287
Mailing Address - Country:US
Mailing Address - Phone:575-522-6500
Mailing Address - Fax:
Practice Address - Street 1:3800 E LOHMAN AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8287
Practice Address - Country:US
Practice Address - Phone:575-522-6500
Practice Address - Fax:575-522-0591
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM55653208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics