Christie Lea Coggburn in Tahlequah - Nutrition, Renal
Christie Lea Coggburn - NPI 1861610503
Christie Lea Coggburn is a Nutrition, Renal in Tahlequah, Oklahoma. Christie Lea Coggburn practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Christie Lea Coggburn is 1861610503. The last update date is 2007-07-08.
Christie Lea Coggburn's current location address is 100 S Bliss Ave, Tahlequah, Oklahoma. You can contact this provider via phone number 9184583178. The mailing address for Christie Lea Coggburn is 100 S Bliss Ave, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christie Lea Coggburn |
|---|---|
| Address | 100 S Bliss Ave, Tahlequah, Oklahoma |
| Phone Number | 9184583178 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD, LD,CSR |
NPI Number Detail
| NPI Number | 1861610503 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 S Bliss Ave |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744642512 |
| Phone Number | 9184583178 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | LD982 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique identifier code issued to Christie Lea Coggburn by the Centers for Medicare & Medicaid Services?
The Christie Lea Coggburn has been assigned the NPI (National Provider Identifier) 1861610503. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Christie Lea Coggburn is physically located?
The Christie Lea Coggburn is physically situated at the following address: 100 S Bliss Ave, Tahlequah, OK, 744642512.
What is Christie Lea Coggburn's area of expertise and its corresponding taxonomy classification?
The Christie Lea Coggburn's field of specialization is Nutrition, Renal, and it falls under the taxonomy code 133Vn1005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1861610503 to Christie Lea Coggburn?
The Christie Lea Coggburn received its 1861610503 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
When was the information related to Christie Lea Coggburn most recently updated or refreshed?
The details pertaining to the Christie Lea Coggburn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC