Individual
DANIEL COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7227 E BASELINE RD STE 126, MESA, AZ 85209-5006
(480) 868-9650
(480) 834-3606
Mailing address
825 W QUEEN CREEK RD APT 1021, CHANDLER, AZ 85248-3208
(256) 572-2006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
258294
AZ
363LG0600X
Gerontology Nurse Practitioner
258294
AZ
Other
Enumeration date
05/04/2016
Last updated
05/16/2025
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