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Max Robert Couch, RN

Registered Nurse in Suffolk, VA. Individual provider (NPI-1).

NPI number1063235331
StatusActive
Last updated in NPPESNov 5, 2024

Details

NPI
1063235331
Entity type
Individual (NPI-1)
Name
Max Robert Couch
Credential
RN
Sex
Male
Sole proprietor
No
Enumeration date
Nov 5, 2024
Certification date
Nov 5, 2024
Last updated
Nov 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041567463ILYes

Practice location

1500 Bridgeport Way
Suffolk, VA 23435-1956

Phone 217-371-0066

Mailing address

1500 Bridgeport Way Apt 212
Suffolk, VA 23435-1961

Phone 217-371-0066

Other practice locations

730 N Jackson St
Pittsfield, IL 62363-1219

Phone 217-371-0066

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