Individual provider · Type 1 NPI
Theresa Kouadio, CMN
Nurse Practitioner · Fairbanks, AK
Practice location
1717 W Cowles St
Fairbanks, AK 99701-5926
Other practice locations
- 436 5th Ave, Kotzebue, AK 99752 · (907) 442-7384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 139327 (AK) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1720034556
Theresa Kouadio, CMN's National Provider Identifier is 1720034556, issued on May 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 15, 2021.