Basic Information
| Provider Information | |||||||||
| NPI: | 1386733152 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COENEN | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSN RN PNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7572 VALLEY VIEW RD | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442361243 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306533459 | ||||||||
| FaxNumber: | 3306533459 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 S ARLINGTON ST | ||||||||
| Address2: | SUITE 38 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443063750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307245471 | ||||||||
| FaxNumber: | 3307240516 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 01/31/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | NP-5454 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.