Individual
MICHELLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2050 DIAMOND ROCK HILL RD, MALVERN, PA 19355-9529
(484) 819-0411
(484) 902-0260
Mailing address
56 SMOKETREE RD, LEVITTOWN, PA 19056-2208
(215) 805-6499
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026150
PA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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