Coffman, Elizabeth Therese
Coffman, Elizabeth Therese is an sole proprietor health care provider with primary practice located at 1701 N Green Valley Pkwy Ste 7B , Henderson NV 89074-5889. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Behavioral Health & Social Service Providers / Clinical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Coffman, Elizabeth Therese can be contacted via phone (702) 508-9119.Contact Information
Primary practice address
1701 N Green Valley Pkwy Ste 7B
Henderson NV 89074-5889
Phone: (702) 508-9119
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2844 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601010553 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6802089761 | Michigan |
Profile Details
| NPI number | 1083125017 |
|---|---|
| LBN Legal business name | Coffman, Elizabeth Therese |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2017 |
| Last updated | Jul 24th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083125017 | NPPES |
| Nevada | MEDICAID | PA2844 | |
| Nevada | Other | PA2844 |
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