Cooper, Gloria R

Cooper, Gloria R is an individual health care provider with primary practice located at 8700 Stony Point Pkwy Suite 100, Richmond VA 23235-1962. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Cooper, Gloria R can be contacted via phone (804) 775-4500.

Contact Information

Primary practice address
8700 Stony Point Pkwy Suite 100 Richmond VA 23235-1962
Phone: (804) 775-4500
Fax: (804) 545-1632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 0001030728 Virginia

Profile Details

NPI number 1124011986
LBN Legal business name Cooper, Gloria R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 8th, 2007 - about 17 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 1124011986 NPPES
Virginia MEDICAID 8951675

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