Individual
LISA ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4817 SANTA BARBARA AVE, SPARKS, NV 89436-8649
(775) 530-3633
Mailing address
4817 SANTA BARBARA AVE, SPARKS, NV 89436-8649
(775) 530-3633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
RN49784
NV
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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