Individual
CHRISTY M COUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 BROAD AVE, GULFPORT, MS 39501-2404
(228) 575-2902
(228) 867-5245
Mailing address
1340 BROAD AVE STE 320, GULFPORT, MS 39501-2464
(423) 304-4359
(228) 867-5245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
864640
MS
367500000X
Certified Registered Nurse Anesthetist
APN13592
TN
367500000X
Certified Registered Nurse Anesthetist
RN167483
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509817
—
TN
01
—
4197628
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
P00662562
RAILROAD MEDICARE
—
Enumeration date
11/03/2008
Last updated
03/25/2025
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