Provider Demographics
NPI:1639176225
Name:KRESSLY, LOUISE COUTS (ANP, MSN, MBA)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:COUTS
Last Name:KRESSLY
Suffix:
Gender:F
Credentials:ANP, MSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 WARWICK DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5162
Mailing Address - Country:US
Mailing Address - Phone:907-227-4924
Mailing Address - Fax:
Practice Address - Street 1:4251 WARWICK DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5162
Practice Address - Country:US
Practice Address - Phone:907-227-9432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.016065363LA2200X
AKNP360363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041.453459OtherILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL209.016065OtherILLINOS DEPARTMENT OF FINANCIAL AND PROGESSIONAL REGULATION