Kouadio, Theresa

Kouadio, Theresa is an individual health care provider with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kouadio, Theresa can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W Cowles St Fairbanks AK 99701-5926
Phone: (907) 451-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 139327 Alaska

Profile Details

NPI number 1720034556
LBN Legal business name Kouadio, Theresa
Credentials CMN
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 15th, 2021 - about 5 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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