Individual
EILEEN ANN COULSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
599 E WILCOX DR, SIERRA VISTA, AZ 85635-2531
(520) 459-4604
(520) 459-4603
Mailing address
599 E WILCOX DR, SIERRA VISTA, AZ 85635-2531
(520) 459-4604
(520) 459-4603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1992
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328936
—
AZ
Enumeration date
08/13/2007
Last updated
03/22/2024
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