Individual
KAROLYN ROSE COULOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(877) 906-9699
Mailing address
510 HEMPSTEAD TPKE RM 203, WEST HEMPSTEAD, NY 11552-1152
(516) 505-7200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704320977
MI
Other
Enumeration date
02/06/2023
Last updated
01/19/2024
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