Nicole Gabrielle Coutryer, is a
Community Health Worker based in Sacramento, California. Nicole Gabrielle Coutryer is licensed to practice in * (Not Available) (license number ) and her current practice location is
2435 Marconi Ave, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 313-8420.
NPI number for Nicole Gabrielle Coutryer is 1083356257 and her current mailing address is 2435 Marconi Ave, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083356257.
Healthcare Provider's Profile
Full Name | Nicole Gabrielle Coutryer |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 2435 Marconi Ave, Sacramento, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083356257
- Provider Enumeration Date: 04/08/2022
- Last Update Date: 03/06/2025
Medical Identifiers
Medical identifiers for Nicole Gabrielle Coutryer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083356257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Gabrielle Coutryer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Gabrielle Coutryer, 2435 Marconi Ave, Sacramento, CA 95821-4807 Ph: (916) 313-8420 | Nicole Gabrielle Coutryer, 2435 Marconi Ave, Sacramento, CA 95821-4807 Ph: (916) 313-8420 |
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