Individual
CHERIE L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8120 TIMBERLAKE WAY, STE 101, SACRAMENTO, CA 95823-5412
(916) 423-2124
(916) 423-2127
Mailing address
8120 TIMBERLAKE WAY, STE 101, SACRAMENTO, CA 95823-5412
(916) 423-2124
(916) 423-2127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14964
RN
CA
01
—
CT709Z
MEDICARE PROVIDER NUMBER--PTAN
CA
05
—
ZZZ03024Z
—
CA
05
—
ZZZ80876Z
—
CA
Enumeration date
09/11/2009
Last updated
03/04/2010
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