Provider Demographics
NPI:1316343114
Name:COFFEY, MARGARET ELLEN (ND)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELLEN
Last Name:COFFEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21A SANDALWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7830
Mailing Address - Country:US
Mailing Address - Phone:845-800-2618
Mailing Address - Fax:
Practice Address - Street 1:3804 SHELBURNE RD
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6690
Practice Address - Country:US
Practice Address - Phone:802-985-8250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0107491175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath