Individual
HEATHER MICHELLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403
(423) 602-8400
(423) 602-8401
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(844) 468-9496
(855) 630-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129057
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911541
—
AL
05
—
3638268
—
TN
01
—
4156549
BLUE CROSS BLUE SHIELD TN
TN
05
—
616233034A
—
GA
05
—
8052756
—
NC
01
—
N371089
WELLCARE (GA MEDICAID)
—
01
—
P00457980
RAILROAD MEDICARE
—
Enumeration date
08/13/2006
Last updated
06/04/2018
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