NPI 1013045624

Marshall Quinn Coco, NP

Practitioner Nurse Practitioner Lafayette, LA

Practice location

Address: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5904
Phone: (337) 988-1585
Fax: (337) 988-1586
Mailing address: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN081153 -AP05151 (LA)

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Registry record

NPI: 1013045624
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2007
Record last updated: 9 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.