Couch, Kimberly Ann

Couch, Kimberly Ann is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Couch, Kimberly Ann can be contacted via phone (602) 623-1511.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Phone: (602) 623-1511
Fax: (602) 263-1637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X RN071137 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP0237 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN071137 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP0237 Arizona

Profile Details

NPI number 1043320088
LBN Legal business name Couch, Kimberly Ann
Credentials CNM, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 17th, 2022 - about 3 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 1043320088 NPPES
Arizona Other AZ0143460 BCBS
Arizona MEDICAID 472556 BCBS

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