Provider Demographics
NPI:1144342734
Name:COUCH, KARREN DIANN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:KARREN
Middle Name:DIANN
Last Name:COUCH
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:206A S LOOP 336 W
Mailing Address - Street 2:#116
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3300
Mailing Address - Country:US
Mailing Address - Phone:281-433-3387
Mailing Address - Fax:
Practice Address - Street 1:920 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 360
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3260
Practice Address - Country:US
Practice Address - Phone:281-719-0483
Practice Address - Fax:281-719-0756
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2013-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX557836363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily