Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Kouadio, CMN

Individual provider Nurse Practitioner · NPI 1720034556

Theresa Kouadio, CMN is a Nurse Practitioner in Fairbanks, Alaska. Works from 2 locations. Licensed in Alaska.

Licensed in
AK
In the registry since
2006

Practice location Address checks out

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 436 5th Ave, Kotzebue, AK 99752 — (907) 442-7384

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 139327 (AK)

Record details

NPI number1720034556
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMN
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

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