Individual
ERIK F COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1250 IDAHO ST, LEWISTON, ID 83501-1965
(208) 743-7427
(208) 743-7421
Mailing address
1250 IDAHO ST, LEWISTON, ID 83501-1965
(208) 743-7427
(208) 743-7421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201702166NP-PP
OR
363L00000X
Nurse Practitioner
Primary
72014-CNP
ID
363L00000X
Nurse Practitioner
CNP-01988
NM
364SA2100X
Acute Care Clinical Nurse Specialist
CNP-01988
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205368404
—
ID
05
—
13671049
—
NM
Enumeration date
05/29/2012
Last updated
12/27/2024
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