Individual
MS. SHEILA DUBOSE-COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
982 E MAIN ST, OPTIMUS HEALTH CARE- SCHOOL-BASED HEALTH CENTERS, BRIDGEPORT, CT 06608-1913
(203) 579-9519
(203) 579-9519
Mailing address
338 HARDING AVE, STRATFORD, CT 06615-7247
(203) 502-0024
(203) 579-9519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002167
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004142361
—
CT
Enumeration date
01/04/2006
Last updated
03/07/2009
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