Individual
NOELLE CHRISTINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Mailing address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP171115
ME
363L00000X
Nurse Practitioner
RN2333460
MA
Other
Enumeration date
08/03/2017
Last updated
06/26/2024
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