Provider Demographics
NPI:1689366528
Name:PERRIER BEAR, COURTNEY (FDN-P)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:PERRIER BEAR
Suffix:
Gender:F
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2991 E WETSTONES RD
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-9758
Mailing Address - Country:US
Mailing Address - Phone:520-982-6744
Mailing Address - Fax:
Practice Address - Street 1:2991 E WETSTONES RD
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:AZ
Practice Address - Zip Code:85641-9758
Practice Address - Country:US
Practice Address - Phone:520-982-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach