| Doctor Name: | PROF. MARCIE DAWN COOPER |
| NPI Number: | 1104140433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN |
| License Number: | 192185 |
| Business Practice Address: | 2264 Castlegate Dr N Apt 731 Castle Rock, CO - 801088340 |
| Business Phone Number: | 7208404496 |
| Business Fax Number: | |
| Mailing Address: | 2264 Castlegate Dr N, Apt 731 CASTLE ROCK |
| State: | CO |
| Postal Code: | 801088340 |
| Phone Number: | 7208404496 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2010 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 192185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |