Individual
COOPER WALL BEIERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 KNOTBREAK RD, SALEM, VA 24153-5414
(540) 444-5670
(540) 444-5669
Mailing address
100 KNOTBREAK RD, SALEM, VA 24153-5414
(540) 205-3351
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0024190498
VA
363LF0000X
Family Nurse Practitioner
Primary
0024190498
VA
Other
Enumeration date
07/09/2024
Last updated
08/29/2024
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