Provider Demographics
NPI:1700247509
Name:COIL, ANGIE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:
Last Name:COIL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S CANDY LN
Mailing Address - Street 2:BLDG 13AB
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4120
Mailing Address - Country:US
Mailing Address - Phone:928-649-1389
Mailing Address - Fax:928-634-5314
Practice Address - Street 1:203 S CANDY LN STE 13B
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-8113
Practice Address - Country:US
Practice Address - Phone:928-649-1389
Practice Address - Fax:928-634-5314
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-08
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily