Individual
PATRICIA A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN, APRN
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 678-3531
(606) 451-2641
Mailing address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 678-3531
(606) 451-2641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3398P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384144
ANTHEM
—
01
—
1226724
CHA
—
01
—
12397376
MULTIPLAN
—
01
—
3398P
LICENSE NO
KY
05
—
78015567
—
KY
01
—
9408613
PHCS
—
01
—
P00298919
RAILROAD MEDICARE
KY
Enumeration date
01/04/2006
Last updated
06/28/2013
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