Provider Demographics
NPI:1396088647
Name:COGGINS, CLARE ((DONA))
Entity type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:
Last Name:COGGINS
Suffix:
Gender:F
Credentials:(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 FOREST DALE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5471
Mailing Address - Country:US
Mailing Address - Phone:561-346-4979
Mailing Address - Fax:
Practice Address - Street 1:4902 FOREST DALE DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5471
Practice Address - Country:US
Practice Address - Phone:561-346-4979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula