Couvillon, Michael Andre

Couvillon, Michael Andre is an individual health care provider with primary practice located at 3250 Zemke Ave , Tampa FL 33621-5023. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Couvillon, Michael Andre can be contacted via phone (813) 827-4410.

Contact Information

Primary practice address
3250 Zemke Ave Tampa FL 33621-5023
Phone: (813) 827-4410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN045162 - AP03387 Louisiana

Profile Details

NPI number 1184621856
LBN Legal business name Couvillon, Michael Andre
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184621856 NPPES
Louisiana Other P00130594 RR MEDICARE
Louisiana MEDICAID 1564907 RR MEDICARE

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