Individual
DIENETTA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 ATLANTIC SHORES DR, VIRGINIA BEACH, VA 23454-7311
(757) 716-2000
Mailing address
1200 ATLANTIC SHORES DR, VIRGINIA BEACH, VA 23454-7311
(757) 716-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172895
VA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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