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Individual
MARY L. COUCOULES
Active
Individual
MARY L. COUCOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0076081
WA
367500000X
Certified Registered Nurse Anesthetist
AP30005708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196408
L&I PIN
WA
01
—
4143CO
REGENCE BLUE SHIELD PIN
WA
01
—
75366U
REGENCE BLUE SHIELD PIN
WA
05
—
9635034
—
WA
Enumeration date
05/20/2006
Last updated
07/13/2026
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