Organization
MICHELLE COOPER NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CORBIN (DIRECTOR OF FINANCE)
(301) 732-6300
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR SUITE F, FREDERICK, MD 21702
(301) 644-3305
(301) 644-3308
Mailing address
75 THOMAS JOHNSON DR SUITE F, FREDERICK, MD 21702
(301) 644-3305
(301) 644-3308
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R134898
MD
Other
Enumeration date
11/12/2014
Last updated
08/29/2022
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