Provider Demographics
NPI:1841359387
Name:COURSER, KAROLEE ANN (CNA HUMAN SERVICES T)
Entity type:Individual
Prefix:MS
First Name:KAROLEE
Middle Name:ANN
Last Name:COURSER
Suffix:
Gender:F
Credentials:CNA HUMAN SERVICES T
Other - Prefix:MS
Other - First Name:KACI
Other - Middle Name:
Other - Last Name:COURSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA HUMAN SERVICES T
Mailing Address - Street 1:12528 HOPE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577
Mailing Address - Country:US
Mailing Address - Phone:907-622-4484
Mailing Address - Fax:
Practice Address - Street 1:9210 JUPITER DRIVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507
Practice Address - Country:US
Practice Address - Phone:907-346-2234
Practice Address - Fax:907-346-2601
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
Not Answered376K00000XNursing Service Related ProvidersNurse's Aide