Individual
HOLLIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8200 W BROWN DEER RD STE 210, MILWAUKEE, WI 53223-1712
(414) 499-7720
(414) 662-5198
Mailing address
10421 W HAMPTON AVE APT 1, MILWAUKEE, WI 53225-4077
(414) 394-2666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22566630
WI
164W00000X
Licensed Practical Nurse
30592731
WI
Other
Enumeration date
11/10/2009
Last updated
04/07/2022
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