Koutrouba, Denise Michele
Koutrouba, Denise Michele is an individual health care provider with primary practice located at 1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-Qs, Tripler Amc HI 96859-5001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Reproductive Endocrinology/Infertility, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Nursing Service Providers / Reproductive Endocrinology/Infertility is her primary health care specialty. Koutrouba, Denise Michele can be contacted via phone (808) 433-2460.Contact Information
Primary practice address
1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-Qs
Tripler Amc HI 96859-5001
Phone: (808) 433-2460
Fax: (808) 433-1558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Reproductive Endocrinology/Infertility | 163WR1000X | 275890 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 275890 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 264283 | Massachusetts |
Profile Details
| NPI number | 1174559157 |
|---|---|
| LBN Legal business name | Koutrouba, Denise Michele |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174559157 | NPPES |
| California | Other | 275890 | LICENSE |
| California | Other | 37 | LICENSE |
| California | Other | 264283 | LICENSE |
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