Individual
NANCY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95187079
CA
363LP0200X
Pediatric Nurse Practitioner
95017359
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61187184
WA
Other
Enumeration date
07/10/2019
Last updated
11/06/2021
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