Individual
AMY KATHRYN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
195 SOUTHPARK BLVD, SAINT AUGUSTINE, FL 32086-5134
(904) 823-2896
Mailing address
195 SOUTHPARK BLVD, SAINT AUGUSTINE, FL 32086-5134
(904) 823-2896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9241472
FL
Other
Enumeration date
01/08/2009
Last updated
06/13/2016
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