Matthew Lamar McCoucha, CRNANURSEASSISTANT
Matthew Lamar McCoucha, CRNANURSEASSISTANT is a Certified Registered Nurse Anesthetist in Great Lakes, Illinois. Licensed in Florida and Virginia. Registered with an NPI since 2006.
- Licensed in
- FL, VA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
Naval Hospital Great Lakes 3001 A 6th StGreat Lakes, IL 60088
Phone: (847) 688-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence ARNP9296655 (FL) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 0024140275 (VA) |
Record details
| NPI number | 1902872062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNANURSEASSISTANT |
| Sole proprietor | No |
| NPI enumerated | February 27, 2006 |
| Last updated in NPPES | December 9, 2009 |