Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antionette Ruby Coates

Individual provider Driver · NPI 1306615729

Antionette Ruby Coates is a Driver in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

9912 Fillmore St NE
Blaine, MN 55434-3533
Phone: (612) 296-1991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence M10311302104 (MN)
Driver Taxonomy 172A00000X · Licence M103113024104 (MN)

Record details

NPI number1306615729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address9912 Fillmore St Ne, Blaine, MN 55434-3533

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