THERESA KOUADIO, CMN

Nurse Practitioner

Active Individual
NPI: 1720034556

Practice Address

1717 W COWLES ST
Fairbanks, AK 99701

Phone: (907) 451-6682

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 139327 (AK)

Frequently Asked Questions

NPI 1720034556 is the National Provider Identifier for THERESA KOUADIO, CMN, a Nurse Practitioner provider located in Fairbanks, AK. This NPI was enumerated on May 25, 2006.
THERESA KOUADIO, CMN practices at 1717 W COWLES ST, Fairbanks, AK 99701.

Quick Facts

NPI
1720034556
Type
Individual
Enumerated
May 25, 2006
Last Updated
Apr 15, 2021

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