Individual
MS. CLARICE LOUISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
308 MISSION DRIVE, SAINT IGNATIUS, MT 59865-0308
(406) 745-3525
(406) 745-4091
Mailing address
PO BOX 880, SAINT IGNATIUS, MT 59865-0880
(406) 745-3525
(406) 745-4091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN22954
MT
163WC1500X
Community Health Registered Nurse
RN22954
MT
Other
Enumeration date
10/03/2006
Last updated
02/24/2011
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