Provider Demographics
NPI:1831421171
Name:COFFMAN, SUE ELAINE (CD(DONA), AAHCC)
Entity type:Individual
Prefix:MRS
First Name:SUE
Middle Name:ELAINE
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:CD(DONA), AAHCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 E MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3427
Mailing Address - Country:US
Mailing Address - Phone:714-744-6932
Mailing Address - Fax:
Practice Address - Street 1:3446 E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3427
Practice Address - Country:US
Practice Address - Phone:714-744-6932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula