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NPI Code Detail

MEDICARE: CARRIE COUFAL

MEDICARE: CARRIE COUFAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC3500XCardiac Rehabilitation Registered NurseXXXXXXXMN

General Provider Information

NPI Number : 1255642054
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE COUFAL
Provider Business Mailing Address
First Line : 450 E 23RD ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-9802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 E 23RD ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-9802
Country : US
Telephone Number : 402-721-1610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 02/21/2024

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Directions to “ CARRIE COUFAL ” Practice Location

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