Provider Demographics
NPI:1770952178
Name:COYLE, HANNA LEIGH (FNP)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:LEIGH
Last Name:COYLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HANNA
Other - Middle Name:LEIGH
Other - Last Name:FERRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3515 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0711
Mailing Address - Country:US
Mailing Address - Phone:903-791-9355
Mailing Address - Fax:903-831-7258
Practice Address - Street 1:711 E END BLVD S
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5615
Practice Address - Country:US
Practice Address - Phone:903-938-4363
Practice Address - Fax:903-935-7394
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX718545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily