Individual
SARA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95001718
CA
363LA2100X
Acute Care Nurse Practitioner
14166
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
95001718
CA
Other
Enumeration date
05/22/2009
Last updated
11/04/2022
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