CANDICE J COOTS
NPI 1922399146
Registered Nurse - Psychiatric/Mental Health in Hazard, KY
Active since April 21, 2011
About Candice J Coots NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDICE J COOTS (NPI 1922399146) is an individual psychiatric/mental health provider in Hazard, Kentucky, licensed in Kentucky (1109170) and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1922399146
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameCANDICE J COOTS
Location Address115 ROCKWOOD LNHazard, KY 41701-9415
Mailing Address115 Rockwood LnHazard, KY 41701-9415 · (606) 436-5761 · Fax (606) 435-0817
Phone(606) 436-5761
Fax(606) 435-0817
Sole ProprietorNo
Enumeration DateApril 21, 2011
✔ NPI 1922399146 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in KY · 1109170
115 ROCKWOOD LN, Hazard, KY 41701
Other Names 1
Former Name (1)Candice J Valliencourt
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922399146, enumerated as an "individual" on April 21, 2011.
The provider is located at 115 ROCKWOOD LN HAZARD, KY 41701 and the phone number is (606) 436-5761.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.