Most Relevant Information
Provider Data
| NPI Number: | 1003466855 |
| Provider Name: | TINA M COOGLER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP60860966 |
Most Important Dates
| Enumeration Date: | 09/13/2019 |
| Last Updated: | 09/13/2019 |
Provider Practice Location
44 E COZZA DR
SPOKANE
WA
992086514
Practice Location Phone/Fax
| Phone: | 5093256800 |
| Fax: |
Provider Mailing Location
44 E COZZA DR
SPOKANE
WA
992086514
Provider Mailing Phone/Fax
| Phone: | 5093256800 |
| Fax: |