Gloria Coats

Individual provider Active NPI Licensed Practical Nurse · Caro, MI

NPI 1205201654 · NPPES record last updated Jul 15, 2020

Key facts

NPI
1205201654
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN-159270-M-IV (OH)
Practice address
917 W Lincoln St
Caro, MI 48723-1460
Phone
(989) 670-6885
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN-159270-M-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN-159270-M-IV OH Yes

Addresses

Primary practice location

917 W Lincoln St
Caro, MI 48723-1460

Mailing address

917 W Lincoln St
Caro, MI 48723-1460
Phone (989) 670-6885

Other identifiers

IdentifierTypeStateIssuer
4703119009OtherMIMI NURSING

Other names

  • Gloria Crawford Former name

Other providers in Caro, MI

All providers in Caro, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.