Individual
GLORIA R COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8700 STONY POINT PKWY, SUITE 100, RICHMOND, VA 23235-1962
(804) 775-4500
(804) 545-1632
Mailing address
8700 STONY POINT PKWY, SUITE 100, RICHMOND, VA 23235-1962
(804) 775-4500
(804) 545-1632
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
0001030728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8951675
—
VA
Enumeration date
08/26/2005
Last updated
07/08/2007
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