Individual
CATHARINE ELAINE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2304 SW PHEASANT TRL, LEES SUMMIT, MO 64082-1550
(281) 253-1482
Mailing address
2304 SW PHEASANT TRL, LEES SUMMIT, MO 64082-1550
(281) 253-1482
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2021042810
MO
363LA2200X
Adult Health Nurse Practitioner
53-80651-092
KS
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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