Provider Demographics
NPI:1649778358
Name:COULSON, CORTNEY MARIE (CRNA)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:MARIE
Last Name:COULSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CORTNEY
Other - Middle Name:MARIE
Other - Last Name:BRASSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:2939 N JOSEPHINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-4650
Mailing Address - Country:US
Mailing Address - Phone:920-946-3386
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-28
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993648-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered