Individual
INGRID COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
505 E 1100 N, CHESTERTON, IN 46304-9697
(219) 926-1420
Mailing address
505 E 1100 N, CHESTERTON, IN 46304-9697
(219) 926-1420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.022021
IL
363LF0000X
Family Nurse Practitioner
Primary
71010929A
IN
Other
Enumeration date
01/14/2021
Last updated
04/06/2021
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