Search › Wisconsin › 363AS0400X
Stephanie Kourtjian, PA-C
NPI 1891315495 · on the registry since 2020
Practice
- Address
- 1240 University Bay Dr
Madison, WI 53705 - Phone
- (616) 970-8072
- Clinicians at this address
- 2
Additional practice sites
- 2500 Rocky Mountain Ave Ste 310, Loveland, CO
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- CO, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin