Robert C Coale III, RN

Individual provider Active NPI Registered Nurse · Aston, PA

NPI 1417484262 · NPPES record last updated May 11, 2017

Key facts

NPI
1417484262
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN643029 (PA)
Practice address
219 Spring Valley Way
Aston, PA 19014-1454
Phone
(610) 574-4777
NPI assigned
May 11, 2017
Sex
Male
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0047722DEMDRegistered Nurse
RN643029PAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN643029 PA Yes
Registered Nurse 163W00000X L1-0047722 DE

Addresses

Primary practice location

219 Spring Valley Way
Aston, PA 19014-1454

Mailing address

219 Spring Valley Way
Aston, PA 19014-1454
Phone (610) 574-4777

Other providers in Aston, PA

All providers in Aston, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.