Theresa Kouadio in Fairbanks - Nurse Practitioner
Theresa Kouadio - NPI 1720034556
Theresa Kouadio is a Nurse Practitioner in Fairbanks, Alaska. Theresa Kouadio practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Theresa Kouadio is 1720034556. The last update date is 2021-04-15.
Theresa Kouadio's current location address is 1717 W Cowles St, Fairbanks, Alaska. You can contact this provider via phone number 9074516682. The mailing address for Theresa Kouadio is 1717 W Cowles St, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Kouadio |
|---|---|
| Address | 1717 W Cowles St, Fairbanks, Alaska |
| Phone Number | 9074516682 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CMN |
NPI Number Detail
| NPI Number | 1720034556 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2021-04-15 |
Provider Mailing Address Detail
| Address | 1717 W Cowles St |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997015926 |
| Phone Number | 9074516682 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 139327 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Theresa Kouadio's 1720034556?
The Theresa Kouadio's NPI (National Provider Identifier) Number is 1720034556. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theresa Kouadio located?
The Theresa Kouadio is located at 1717 W Cowles St, Fairbanks, AK 997015926.
What is the Theresa Kouadio's specialty and taxonomy code?
The Theresa Kouadio's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720034556 to Theresa Kouadio?
The Theresa Kouadio received its 1720034556 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the information pertaining to Theresa Kouadio most recently updated or revised?
The details related to Theresa Kouadio, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-15.