Carol S Coffee, RN in Advance, MO - Registered Nurse

Carol S Coffee, RN is a Registered Nurse - Administrator based in Advance, Missouri. Carol S Coffee is licensed to practice in Missouri (license number 2001031601) and her current practice location is 504 S Vine St, Advance, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 722-6111.

NPI number for Carol S Coffee is 1316591340 and her current mailing address is Po Box 435, Advance, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316591340.

Contact Information

	Carol S Coffee, RN
	504 S Vine St, Advance, MO 63730-8060
	(573) 722-6111
	(573) 722-6555

Provider's Profile

Full Name	Carol S Coffee
Gender	Female
Speciality	Registered Nurse - Administrator
Location	504 S Vine St, Advance, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1316591340
Provider Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019

Medical Identifiers

Medical identifiers for Carol S Coffee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316591340	NPI	-	NPPES
266135003	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WA2000X	Registered Nurse - Administrator	2001031601 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol S Coffee is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carol S Coffee, RN Po Box 435, Advance, MO 63730-0435 Ph: (573) 722-6111	Carol S Coffee, RN 504 S Vine St, Advance, MO 63730-8060 Ph: (573) 722-6111

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Carol S Coffee, RN - Registered Nurse in Advance, MO