Individual
BROOK ANN COOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
620 SMITH AVE, OCONTO, WI 54153-1080
(920) 834-4110
(920) 834-4117
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 834-4117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15139-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100272586
—
WI
Enumeration date
03/15/2024
Last updated
05/03/2024
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