Provider Demographics
NPI:1962293985
Name:COGGINS, SABRINA (RN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:COGGINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:CANTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:60547 WOOD RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-1377
Mailing Address - Country:US
Mailing Address - Phone:208-310-9338
Mailing Address - Fax:
Practice Address - Street 1:60547 WOOD RD
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-1377
Practice Address - Country:US
Practice Address - Phone:208-310-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200941885363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool