Provider Demographics
NPI:1588973937
Name:COATS, GLORIA JUNE (RN, MSN, FNP)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:JUNE
Last Name:COATS
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Gender:F
Credentials:RN, MSN, FNP
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Mailing Address - Street 1:3641 MITCHELL ROAD
Mailing Address - Street 2:SUITE H
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307
Mailing Address - Country:US
Mailing Address - Phone:209-531-0154
Mailing Address - Fax:209-531-0176
Practice Address - Street 1:3641 MITCHELL ROAD
Practice Address - Street 2:SUITE H
Practice Address - City:CERES
Practice Address - State:CA
Practice Address - Zip Code:95307
Practice Address - Country:US
Practice Address - Phone:209-531-0154
Practice Address - Fax:209-531-0176
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
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Provider Licenses
StateLicense IDTaxonomies
CA17812363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner