Individual
MS. MELISSA E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7475 MCLAUGHLIN RD, PEYTON, CO 80831-4716
(719) 495-9994
Mailing address
1909 MEDICI LN, COLORADO SPRINGS, CO 80921-4196
(662) 328-9623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0994208-NP
CO
363LF0000X
Family Nurse Practitioner
R718106
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123006
—
MS
Enumeration date
12/02/2005
Last updated
11/04/2020
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