Individual
PATRICIA B COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
930 CARONDELET DR, STE 201, KANSAS CITY, MO 64114
(913) 956-2250
Mailing address
1000 CARONDELET DR, PROVIDER ENROLLMENT/MED STAFF OFFICE, KANSAS CITY, MO 64114
(816) 943-5744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110252
NE
363L00000X
Nurse Practitioner
Primary
2018035923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557520
—
NE
Enumeration date
05/03/2006
Last updated
11/01/2019
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