Individual
PAULA JEAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4401 HARRISON BLVD, STE 1885, OGDEN, UT 84403-3195
(801) 387-4870
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-4870
(801) 475-1621
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
8145615-4405
UT
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
X080126
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0105486
RR PTAN (IHC)
UT
Enumeration date
11/16/2006
Last updated
11/26/2012
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