Individual
DANA KOUCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, DNP, RN
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 364-3312
Mailing address
4022 STIRRUP CREEK DR STE 315, DURHAM, NC 27703-8999
(919) 425-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
259317
NC
363LG0600X
Gerontology Nurse Practitioner
259317
NC
Other
Enumeration date
04/03/2018
Last updated
04/08/2022
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