Individual
ELIZABETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1501 W MOUNT ROYAL AVE, BALTIMORE, MD 21217-4289
(410) 225-8855
Mailing address
PO BOX 64522, BALTIMORE, MD 21264-4522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R135920
MD
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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