THERESA KOUADIO (CMN) – Nurse Practitioner, NPI 1720034556

THERESA KOUADIO (CMN) is a healthcare provider. based in Kotzebue, Alaska. specializing in Nurse Practitioner. They hold the professional credentials CMN. They hold a License No. 139327 (AK). The NPI Number for THERESA KOUADIO (CMN) is 1720034556

Main info

Female
Name
THERESA KOUADIO (CMN)
NPI
1720034556
Phone
(907) 442-7384
Address
PO BOX 256
Enumeration Date
25 May 2006
Last Update Date
15 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for THERESA KOUADIO (CMN)

  • PO BOX 256

    KOTZEBUE, AK 997520256

    Phone: (907) 442-7384

    Type: Mailing

  • 436 5th Ave

    Kotzebue, AK 99752

    Phone: (907) 442-7384

    Fax: (907) 442-7306

    Type: Location

  • 1717 W COWLES ST

    FAIRBANKS, AK 997015926

    Phone: (907) 451-6682

    Type: Location

  • Maniilaq Medical Center, 436, 5th Avenue, Kotzebue, Northwest Arctic, Alaska, 99752, United States

    KOTZEBUE, AK 99752

    Phone: (907) 442-7384

    Fax: (907) 442-7306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99752)

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Reviews

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Frequently asked questions

What number should I use to identify THERESA KOUADIO (CMN) for billing?
Administrative and clinical systems typically use NPI 1720034556 for THERESA KOUADIO (CMN).
Is THERESA KOUADIO (CMN) currently accepting referrals based on NPI status?
Registry metadata lists THERESA KOUADIO (CMN) as active.
How should patients interpret THERESA KOUADIO (CMN)'s specialty?
The extract shows Nurse Practitioner for THERESA KOUADIO (CMN). Clinical services aligned with this taxonomy classification.
Can patients visit THERESA KOUADIO (CMN) in Kotzebue, Alaska?
For routing, start with Kotzebue, Alaska for THERESA KOUADIO (CMN), then verify phone and hours locally.
Who maintains THERESA KOUADIO (CMN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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