Provider Demographics
NPI:1841449261
Name:COATES, PATRICIA JUDD (RN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JUDD
Last Name:COATES
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 1:44 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-2506
Mailing Address - Country:US
Mailing Address - Phone:585-621-5227
Mailing Address - Fax:
Practice Address - Street 1:44 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14616-2506
Practice Address - Country:US
Practice Address - Phone:585-621-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298532-1251300000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No163W00000XNursing Service ProvidersRegistered Nurse