Individual
MS. BEVERLY GREEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2355-C MILL ROAD, ALEXANDRIA, VA 22314-4608
(703) 838-4482
(703) 329-2032
Mailing address
2445 S OAKLAND ST, ARLINGTON, VA 22206-2431
(703) 685-4002
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
0001122377
VA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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