Cooper, Andrea R.

Cooper, Andrea R. is an individual health care provider with primary practice located at 920 N Hamilton Rd , Gahanna OH 43230-1757. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Cooper, Andrea R. can be contacted via phone (614) 293-3069.

Contact Information

Primary practice address
920 N Hamilton Rd Gahanna OH 43230-1757
Phone: (614) 293-3069
Fax: (614) 366-0894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.14052 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.13981 Ohio

Profile Details

NPI number 1508116203
LBN Legal business name Cooper, Andrea R.
Credentials APRN.CNM, APRN.CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Oct 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508116203 NPPES
Ohio MEDICAID 0075201

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