Most Relevant Information
Provider Data
| NPI Number: | 1003316076 |
| Provider Name: | ALYSSA COFFMAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 933707 |
Most Important Dates
| Enumeration Date: | 02/16/2018 |
| Last Updated: | 02/16/2018 |
Provider Practice Location
154 JEFFERSON DR
VENUS
TX
760843706
Practice Location Phone/Fax
| Phone: | 2142639986 |
| Fax: |
Provider Mailing Location
154 JEFFERSON DR
VENUS
TX
760843706
Provider Mailing Phone/Fax
| Phone: | 2142639986 |
| Fax: |