Individual
MS. PATRICIA M JONES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 W. RIVER WOODS PKWY., STE. 130, GLENDALE, WI 53212
(414) 961-0304
(414) 961-2061
Mailing address
2500 N. MAYFAIR RD., STE. 500, WAUWATOSA, WI 53226
(414) 257-2525
(414) 257-1772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3508-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558527200
—
WI
01
—
P01650009
RAILROAD MEDICARE
WI
Enumeration date
08/01/2008
Last updated
01/26/2024
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