NPI 1124422985 · live from the CMS NPI Registry
Tina Coakley, ARNP
Nurse Practitioner, Pediatrics in Bettendorf, IA. National Provider Identifier 1124422985, active.
NPI record
| NPI | 1124422985 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1075 Golden Valley Dr, Bettendorf, IA 52722 |
| Practice phone | 563-900-5996 |
| Mailing address | 25377 Route 61, Zwingle, IA 52079 |
| Enumerated | October 22, 2014 |
| Last updated | October 25, 2023 |
| Sole proprietor | No |
| Other names | Tina Till |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C118966 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.