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Individual

MS. EMILY TYLER COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ANP-BC, WHNP-BC

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
215684
NC
163W00000X
Registered Nurse
574783
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
215684
NC
363LW0102X
Women's Health Nurse Practitioner
215684
NC

Other

Enumeration date
09/08/2008
Last updated
03/18/2013
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