Basic Information
| Provider Information | |||||||||
| NPI: | 1447202478 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COATNEY | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2925 CHICAGO AVE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554071321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122629000 | ||||||||
| FaxNumber: | 2538386418 | ||||||||
| Practice Location | |||||||||
| Address1: | ALLINA HEALTH URGENT CARE - APPLE VALLEY | ||||||||
| Address2: | 14655 GALAXIE AVE | ||||||||
| City: | APPLE VALLEY | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3512413779 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 02/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OP00001983 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 068387 | GA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 5315104886 | MI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 13951 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 036131295 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 36131295 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 267643 | NY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207P00000X | 69063 | MN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8421794 | 05 | WA | MEDICAID | 0240753 | 01 | WA | LIWA | OTHER | P00650273 | 01 | WA | RAILROAD MEDICARE | OTHER | 8951043 | 01 | WA | VCR | OTHER |