Individual
MICHELLE MAKEBA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
627 RANDALL RD, LUDLOW, MA 01056-1085
(413) 858-0853
(413) 858-0772
Mailing address
67 RANDALL RD, LUDLOW, MA 01056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN266134
MA
Other
Enumeration date
10/11/2017
Last updated
01/02/2026
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