Individual
ALEXIS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
144125
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124350699
VA
IA
Enumeration date
01/30/2023
Last updated
01/30/2023
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