CAROL S. COFFEE RN NPI 1316591340

NPI Information

  • NPI: 1316591340
  • Provider Name: CAROL S. COFFEE, RN
  • Classification: Registered Nurse - 163WA2000X
  • Specialization: Administrator
  • Entity Type: Individual
  • Address: 504 S VINE ST
    ADVANCE, MO
    ZIP 63730
  • Phone: (573) 722-6111

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NPI Details

Carol S. Coffee, RN is an administrator registered nurse in Advance, MO. Carol S. Coffee, RN NPI is 1316591340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

504 S VINE ST
ADVANCE, MO
ZIP 63730-060
Phone: (573) 722-6111
Fax: (573) 722-6555

The enumeration date for this NPI number is 7/29/2019 and was last updated on 7/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA2000XRegistered NurseAdministrator2001031601MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1266135003MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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