Individual
MS. JOHANNA KARIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
ROUTE 301 NORTH & B AVENUE, ZUNI HOSPITAL, ZUNI, NM 87327
(505) 782-4431
Mailing address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-4431
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
236137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65456327
—
NM
Enumeration date
01/29/2007
Last updated
03/20/2015
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