Healthcare Provider Details

I. General information

NPI: 1245744762
Provider Name (Legal Business Name): JOYCE COUEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2017
Last Update Date: 11/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3609 OCEAN RANCH BLVD
OCEANSIDE CA
92056-2698
US

IV. Provider business mailing address

2271 DEL MAR SCENIC PKWY
DEL MAR CA
92014-3633
US

V. Phone/Fax

Practice location:
  • Phone: 760-967-4401
  • Fax:
Mailing address:
  • Phone: 858-705-1521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number607335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: