Individual
MS. DOROTHY COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 WARRIOR LN, BESSEMER, AL 35023-7228
(205) 436-3681
Mailing address
414 BALLANTRAE RD, PELHAM, AL 35124-6249
(205) 915-1752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-053672
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2281
CRNP RX NUMBER
AL
Enumeration date
12/20/2012
Last updated
12/20/2012
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