Individual
CAROLINE POWELL COUSSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,ACNS-BC
Contact information
Practice address
200 W 46TH ST N, DREAM CENTER, TULSA, OK 74126-6675
(918) 430-9984
(918) 430-1013
Mailing address
200 W 46TH ST N, TULSA, OK 74126-6675
(918) 430-9984
(918) 430-1013
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R0042972
OK
Other
Enumeration date
08/05/2009
Last updated
06/28/2010
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