Individual
YVONNE PAULETTE COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703-4815
(479) 442-7322
(479) 442-7379
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A002973
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190172758
—
AR
Enumeration date
02/22/2007
Last updated
06/25/2024
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