Individual
MICHAEL COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015866
PA
364SA2200X
Adult Health Clinical Nurse Specialist
SP015866
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO1831662
RAILROAD MEDICARE
PA
Enumeration date
11/01/2016
Last updated
10/15/2024
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