Individual
MS. DENISE MICHELE KOUTROUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163WR1000X
Reproductive Endocrinology/Infertility Registered Nurse
275890
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
264283
MA
363LW0102X
Women's Health Nurse Practitioner
275890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264283
NURSE PRACTITIONER LICENS
MA
01
—
275890
LICENSE
CA
01
—
37
NURSE PRACTITIONER
HI
Enumeration date
06/23/2006
Last updated
09/11/2025
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