Doctor Name: | ADRIANN COOPER |
NPI Number: | 1962806125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3009033 |
Business Practice Address: | 207 Plummers Ln Vanceburg, KY - 411797683 |
Business Phone Number: | 6067960010 |
Business Fax Number: | 6067960011 |
Mailing Address: | 1735 27th St, Waller Building, Suite B06 PORTSMOUTH |
State: | OH |
Postal Code: | 456622677 |
Phone Number: | 7403568681 |
Fax Number: | 7403537900 |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3009033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |