Individual
ANDREA R. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN.CNM, APRN.CNP
Contact information
Practice address
920 N HAMILTON RD, GAHANNA, OH 43230-1757
(614) 293-3069
(614) 366-0894
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-3069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.14052
OH
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.13981
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075201
—
OH
Enumeration date
09/11/2012
Last updated
10/09/2018
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