Doctor Name: | MRS. ELAINE MARIAN HOOPER |
NPI Number: | 1942256730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | AP6266 |
Business Practice Address: | 385 Ranch Road Reedsport, OR - 97467 |
Business Phone Number: | 5412712119 |
Business Fax Number: | 5412719338 |
Mailing Address: | 385 Ranch Road, REEDSPORT |
State: | OR |
Postal Code: | 974670843 |
Phone Number: | 5204150330 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | AP6266 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |