Individual
NANCY J COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(877) 796-5302
Mailing address
9117 E. VIA DEL SOL DR., SCOTTSDALE, AZ 85255
(480) 595-5082
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711483
—
AZ
Enumeration date
08/03/2005
Last updated
04/17/2015
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