Individual
QIANA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 SIBLEY ST, HAMMOND, IN 46320-1725
(219) 882-8800
Mailing address
10551 BLAINE ST, CROWN POINT, IN 46307-0234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041533732
IL
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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