Provider Demographics
NPI:1538120456
Name:COYNE, ELIZABETH ANN (NP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:COYNE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 41555
Mailing Address - Street 2:CHESTNUT HILL EMERGENCY ASSOCIATES LTD
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101
Mailing Address - Country:US
Mailing Address - Phone:800-777-2455
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:8835 GERMANTOWN AVE
Practice Address - Street 2:CHESTNUT HILL HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118
Practice Address - Country:US
Practice Address - Phone:215-248-8523
Practice Address - Fax:215-248-8275
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2014-03-31
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Provider Licenses
StateLicense IDTaxonomies
PATP004187B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
500028551OtherRAILROAD MEDICARE
P73945Medicare UPIN
PA064836Medicare ID - Type Unspecified