Individual
MARIA COOPER PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5713 HIGHWAY 45 ALT S, WEST POINT, MS 39773-0414
(662) 854-9012
(662) 854-9013
Mailing address
5713 HIGHWAY 45 ALT S, WEST POINT, MS 39773-0414
(662) 854-9012
(662) 854-9013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905236
MS
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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