Individual
MRS. SUSAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11385 S 700 E, SANDY, UT 84070-5363
(801) 572-7395
Mailing address
11385 S 700 E, SANDY, UT 84070-5363
(801) 572-7395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6308111-4405
UT
Other
Enumeration date
05/01/2017
Last updated
03/08/2023
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