Individual
PHILIP RUSSELL COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
25 TURTLE POINT RD, PINEHURST, NC 28374-9520
(303) 625-3694
(910) 637-0210
Mailing address
430 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2228
(910) 637-0210
(910) 637-0210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
COUC-MB64R9
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008779
NC
Other
Enumeration date
07/16/2016
Last updated
10/07/2019
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