Individual
DIANA L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7635 W OKLAHOMA AVE, SUITE 202, MILWAUKEE, WI 53219-3600
(414) 327-9152
Mailing address
7635 W OKLAHOMA AVE, SUITE 202, MILWAUKEE, WI 53219-3600
(414) 327-9152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202124-30
WI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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