Provider Demographics
NPI:1699442517
Name:COYNE, PRISCILLA ANN (CRNP)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:ANN
Last Name:COYNE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:ANN
Other - Last Name:BENESKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1135 OLDE W CHOCOLATE AVE
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-9188
Mailing Address - Country:US
Mailing Address - Phone:717-832-2660
Mailing Address - Fax:
Practice Address - Street 1:1135 OLDE W CHOCOLATE AVE
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-9188
Practice Address - Country:US
Practice Address - Phone:717-832-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN704870163W00000X
PASP024859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty