Provider Demographics
NPI:1801591060
Name:COOMBE, NEKYA (CLE)
Entity type:Individual
Prefix:MRS
First Name:NEKYA
Middle Name:
Last Name:COOMBE
Suffix:
Gender:F
Credentials:CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 WINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4438
Mailing Address - Country:US
Mailing Address - Phone:360-919-4170
Mailing Address - Fax:
Practice Address - Street 1:1713 WINFIELD AVE
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4438
Practice Address - Country:US
Practice Address - Phone:360-919-4170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACLT108-4174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN