| Doctor Name: | MS. DENISE MICHELE KOUTROUBA |
| NPI Number: | 1174559157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 275890 |
| Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-qs Tripler Amc, HI - 968595001 |
| Business Phone Number: | 8084332460 |
| Business Fax Number: | 8084331558 |
| Mailing Address: | Jarrett White Road, Tripler Army Medical Center Attn: Mchk-qs TRIPLER AMC |
| State: | HI |
| Postal Code: | 968595001 |
| Phone Number: | 8084332460 |
| Fax Number: | 8084331558 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WR1000X |
| License Number: | 275890 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Reproductive Endocrinology/Infertility |
| Taxonomy Definition: | |