Individual
AMANDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 TAYLORS BROOK WAY SE, GURLEY, AL 35748-8050
(203) 564-0666
Mailing address
14 TAYLORS BROOK WAY SE, GURLEY, AL 35748-8050
(203) 564-0666
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-195825
AL
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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