MS. MARY ELIZABETH COFFEEN-CARLEY (NPI# 1598868689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598868689 |
| Entity Type | Individual |
| Full Name | MS. MARY ELIZABETH COFFEEN-CARLEY |
| Other Name | MS. MARY ELIZABETH COFFEEN-CARLEY |
| Credential | FNP-C |
| Practice Address |
831 St. Highway, 150 South Wyoming State Hospital Evanston WY 82931 |
| Mailing Address |
Po Box 1728 Evanston WY 82931-1728 |
| Practice Telephone | 3077893464 |
| Practice Fax Number | 3077897213 |
| Mailing Telephone | 3866979279 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2000157041 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
831 ST. HIGHWAY, 150 SOUTH WYOMING STATE HOSPITAL |
| City | EVANSTON |
| State | WY |
| Zip Code | 82931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242521 | Elevation Medical Imaging Evanston LLC | Clinic/Center | 1535 South Hwy 150, Evantson, WY 82931 | 2020-07-13 |
| 1083941389 | Todd Bader | Counselor | 724 Front St, Suite 511, Evanston, WY 82931 | 2009-11-06 |
| 1669564712 | Roger Nelson Scarborough | Counselor | 831 Highway 150 South, Evanston, WY 82931 | 2006-09-28 |
| 1114387677 | Patricia Ann Roberts | Social Worker | 831 S Hwy 150, Evanston, WY 82931-0177 | 2016-02-26 |
| 1548389091 | Donald Roger Rardin | Psychologist | Highway 150 South, Evanston, WY 82931-0177 | 2007-03-28 |
| 1265479075 | Uinta Senior Citizens | Home Health | 1229 Uinta St, Evanston, WY 82931-0728 | 2006-06-01 |
| 1457358376 | Tender Heart Home Care Hospice | Case Management | 624 Twin Ridge, Evanston, WY 82931-2130 | 2005-07-07 |
| 1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1013514132 | Bre Ann Brit Reinbold | Case Manager/Care Coordinator | 800 Walton Ave, Evanston, WY 82930-3460 | 2020-10-01 |
| 1982211553 | Allyson Nortz | Physical Therapist | 3238 Harrison St, Evanston, IL 60201-1165 | 2020-09-28 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1336755016 | Catherine Lee Mcclain | Speech-Language Pathologist | 822 Judson Ave Apt 6, Evanston, IL 60202-2460 | 2020-09-18 |
| 1629684543 | Lisa Belgrad Lcsw Pllc | Clinic/Center | 811 Chicago Ave Apt 204, Evanston, IL 60202-2392 | 2020-09-16 |
| 1104431105 | Calvin Alexander | Behavior Technician | 715 Foster St, Evanston, IL 60201-3201 | 2020-09-15 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| 1154934495 | Jane Burstein | Student in an Organized Health Care Education/Training Program | 962 Dobson St Apt 2, Evanston, IL 60202-3847 | 2020-08-26 |
| Find all providers in EVANSTON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103291 | Mary Driscoll | Nurse Practitioner | 800 Austin St Ste 207, Evanston, IL 60202-3442 | 2020-08-01 |
| 1013566892 | Reba Elizabeth Mathew | Nurse Practitioner | 500 Asbury Ave # 316-3320, Evanston, IL 60202-2724 | 2019-09-05 |
| 1952768210 | Jacqueline Christie | Nurse Practitioner | 215d Dodge Ave, Evanston, IL 60202-3669 | 2016-01-18 |
| 1962873075 | Laura E Hilb | Nurse Practitioner | 2121 Dewey Ave, Evanston, IL 60201-3057 | 2015-10-14 |
| 1871982876 | Mirela Shuleva | Nurse Practitioner | 2221 Central St Apt 3e, Evanston, IL 60201-5750 | 2015-01-13 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1720303993 | Olatokunbo Olorunfemi | Nurse Practitioner | 3333 Central Street, Evanston, IL 60201-1150 | 2010-03-31 |
| 1982614723 | Kimberly S Larson | Nurse Practitioner | 170 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-08-08 |
| 1013916519 | Evanston Clinic Corp | Nurse Practitioner | 196 Arrowhead Dr Ste 8, Evanston, WY 82930-8752 | 2005-07-18 |
| 1518579739 | Rizwana Patel | Nurse Practitioner | 800 Austin St, Evanston, IL 60202-3439 | 2020-08-19 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.