Individual
EMILY JO KOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
10 WOLF RUN DR, SIMPSONVILLE, SC 29681-5272
(864) 561-0349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257701
SC
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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