Individual
PATRICA CHRIS ANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
5736 N 37TH ST, MILWAUKEE, WI 53209-4016
(414) 578-1624
Mailing address
5736 N 37TH ST, MILWAUKEE, WI 53209-4016
(414) 578-1624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124441
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35041000
—
WI
Enumeration date
12/27/2007
Last updated
12/27/2007
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