CHRISTINA M COULSON

PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC

Dr CHRISTINA M COULSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC

15604 PINEHURST DR
SUITE 2
BASEHOR
KS
660078234

Tel: 9137282200

CHRISTINA M COULSON Information

Npi 1417353343
Pac Id 0547557092
Professional Enrollment Id I20160927000891
Last Name COULSON
First Name CHRISTINA
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC
Group Practice Pac Id 1052553906
Number Of Group Practice Members 51
Line 1 Street Address 15604 PINEHURST DR
Line 2 Street Address SUITE 2
Marker Of Address Line 2 Suppression
City BASEHOR
State KS
Zip Code 660078234
Phone Number 9137282200
Hospital Affiliation Ccn 1 170146
Hospital Affiliation Lbn 1 PROVIDENCE MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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