Cousineau, Christine

Cousineau, Christine is an individual health care provider with primary practice located at 1415 W Cheyenne Mountain Blvd , Colorado Springs CO 80906-6211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Cousineau, Christine can be contacted via phone (719) 481-2825.

Contact Information

Primary practice address
1415 W Cheyenne Mountain Blvd Colorado Springs CO 80906-6211
Phone: (719) 481-2825
Fax: (719) 481-2825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 76935 Colorado

Profile Details

NPI number 1184649071
LBN Legal business name Cousineau, Christine
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 5th, 2014 - about 12 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 1184649071 NPPES
Colorado MEDICAID 07769359

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