Individual
AMY KATHERINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1800 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1218
(317) 962-2000
Mailing address
3078 N ANDY WAY, BLOOMINGTON, IN 47404-1336
(317) 605-2608
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71014979A
IN
363LF0000X
Family Nurse Practitioner
71014979A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71014979A
IN
Other
Enumeration date
02/28/2024
Last updated
04/03/2024
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