Individual
PAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1534
Mailing address
10010 DONALD S. POWERS DRIVE, MUNSTER, IN 96321
(219) 934-4200
(219) 934-6240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209006976
IL
Other
Enumeration date
03/07/2008
Last updated
09/30/2008
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