Individual
REBEKAH COUPER-NOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
916 PACIFIC AVE, 7TH FLOOR, EVERETT, WA 98201-4147
(425) 303-6500
(425) 303-6550
Mailing address
909 N BROADWAY, PBO, EVERETT, WA 98201-1409
(425) 317-0699
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00146048
WA
363L00000X
Nurse Practitioner
AP30006725
WA
367A00000X
Advanced Practice Midwife
Primary
AP30006725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56774U
REGENCE BLUESHIELD
WA
05
—
9642737
—
WA
Enumeration date
07/13/2006
Last updated
02/02/2009
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