Cooper, Estacia D

Cooper, Estacia D is an individual health care provider with primary practice located at 4444 E 41St St , Tulsa OK 74135-2527. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Cooper, Estacia D can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
4444 E 41St St Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 80155 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 80155 Oklahoma

Profile Details

NPI number 1316196959
LBN Legal business name Cooper, Estacia D
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Jan 13th, 2021 - about 3 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 1316196959 NPPES
Oklahoma MEDICAID 200245210A

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