Doctor Name: | MS. DAWN MARIE COOPERMAN |
NPI Number: | 1457697054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | ARNP9163211 |
Business Practice Address: | 1251 96th St Bay Harbor Islands, FL - 331541937 |
Business Phone Number: | 7863017218 |
Business Fax Number: | |
Mailing Address: | 1251 96th St, BAY HARBOR ISLANDS |
State: | FL |
Postal Code: | 331541937 |
Phone Number: | 7863017218 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2012 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP9163211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |