Individual
OLIVIA A COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2200 169TH ST, HAMMOND, IN 46323-2068
(219) 989-2400
Mailing address
340 W 900 N, UNIONDALE, IN 46791-9723
(260) 227-0871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
IN
Other
Enumeration date
09/15/2022
Last updated
09/18/2022
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