Individual
MS. KATY RENEE COUSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8215 MADISON BLVD STE 130, MADISON, AL 35758-2000
(256) 325-2500
(877) 779-0797
Mailing address
8215 MADISON BLVD STE 130, MADISON, AL 35758-2000
(256) 325-2500
(877) 779-0797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148640
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-148640
AL
Other
Enumeration date
03/07/2017
Last updated
01/31/2022
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