Mary Elizabeth Coffeen-Carley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2000157041 Issued in MO

Practice address

831 St. Highway, 150 South
Wyoming State Hospital
Evanston, WY 82931

Phone

(307) 789-3464

Fax

(307) 789-7213

NPI assigned

Sep 6, 2006

Last updated

Mar 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Elizabeth Coffeen-Carley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1598868689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1728",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829311728",
            "telephone_number": "386-697-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 ST. HIGHWAY, 150 SOUTH",
            "address_2": "WYOMING STATE HOSPITAL",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "82931",
            "telephone_number": "307-789-3464",
            "fax_number": "307-789-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEEN-CARLEY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2000157041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COFFEEN-CARLEY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "FAMILY NURSE PRACTIT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Family Nurse Practitioner in Evanston, WY
• Providers in Evanston, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.