Provider Demographics
NPI:1811497985
Name:COEN, SHAWNA (RN)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:COEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N AUGUSTA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-2879
Mailing Address - Country:US
Mailing Address - Phone:402-587-1242
Mailing Address - Fax:
Practice Address - Street 1:1043 RIDGE ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4423
Practice Address - Country:US
Practice Address - Phone:970-249-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE79428163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology