Provider Demographics
NPI:1427354497
Name:COATES, PAULETTE S (ND, DNM)
Entity type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:S
Last Name:COATES
Suffix:
Gender:F
Credentials:ND, DNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12159 SHARP RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-9405
Mailing Address - Country:US
Mailing Address - Phone:720-581-1804
Mailing Address - Fax:866-737-7802
Practice Address - Street 1:12159 SHARP RD
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-9405
Practice Address - Country:US
Practice Address - Phone:720-581-1804
Practice Address - Fax:866-737-7802
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO133N00000X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133N00000XDietary & Nutritional Service ProvidersNutritionist