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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA KOUADIO, CMN

Active

THERESA KOUADIO, CMN is a Nurse Practitioner healthcare provider located in FAIRBANKS, Alaska. NPI 1720034556 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FAIRBANKS, AK

Registration Details

NPI Number
1720034556
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2006 (20.076382159289 yrs)
Last Updated
Apr 15, 2021
License
139327 (AK)

Practice Information

Address
1717 W COWLES ST
FAIRBANKS, AK, 997015926
Browse AK providers · Browse ZIP 99701
Phone
9074516682
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in FAIRBANKS, AK

Name Credential NPI
ALYCE LYNNE WECKWERTH ANP 1083618334
GLORIA G BOURQUE ANP 1750341053
NANCY LEE SCHUPP ANP 1669587036
MARGARET RADER 1164600185
BRANDON L YOUNG NP 1609199629
MS. BRITTANY SHANTEL BURGLIN STEPOVICH ANP 1174830673
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.