Healthcare Provider Details

I. General information

NPI: 1255615498
Provider Name (Legal Business Name): COURTNEY J ALROUSAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 TIMBERTOP ST APT 201
LANCASTER OH
43130-6552
US

IV. Provider business mailing address

1549 TIMBERTOP ST APT 201
LANCASTER OH
43130-6552
US

V. Phone/Fax

Practice location:
  • Phone: 740-503-0105
  • Fax:
Mailing address:
  • Phone: 740-503-0105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA12606/RN264386COA
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: