Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS COURTNEY MARGARET DE SOUZA, MD
DeactivatedMISS COURTNEY MARGARET DE SOUZA, MD is a Family Medicine healthcare provider located in BOLIVAR, Missouri. NPI 1255957163 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · BOLIVAR, MO
This NPI has been deactivated.
The record was deactivated on January 18, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1255957163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2020 (1.5890410958904 yrs)
- Last Updated
- Jan 13, 2026
- Deactivated
- Jan 18, 2022
- Licenses
-
12507687 (IL)2023026723 (MO)
Practice Information
- Address
-
1300 N OAKLAND AVEBOLIVAR, MO, 656133042Browse MO providers · Browse ZIP 65613
- Phone
- 4173267676
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY STANLEY ZOLKOWSKI | DO | 1619959145 |
| MRS. MARY LYNN HOGAN | M.D. | 1932147808 |
| MR. WILLIAM S DONNELL JR. | M.D. | 1639191125 |
| MR. RONALD A EVANS | M.D. | 1679595102 |
| MRS. LAURA C VANCE | M.D. | 1225050784 |
| MRS. LORI J COHEN | M.D. | 1760404230 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.