NPI 1376318881

Sheara Renee Coates

Practitioner Private Vehicle Nutley, NJ

Practice location

Address: 31 Union Ave APT a, Nutley, NJ 07110-3325
Phone: (862) 218-5390
Fax: (862) 252-7381
Mailing address: 121 Central Pl APT D205, Orange, NJ 07050-3846

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence C60087047959902 (NJ)

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Registry record

NPI: 1376318881
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2023
Record last updated: 15 Nov 2023

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.