Individual
THERESE LINDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
601 CHILDRENS LN, FOURTH FLOOR, NORFOLK, VA 23507-1910
(757) 668-7456
(757) 668-9255
Mailing address
PO BOX 536, FRISCO, NC 27936-0536
(252) 995-9042
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024077810
VA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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