Cooper, Johanna Karin
Cooper, Johanna Karin is an individual health care provider with primary practice located at Route 301 North & B Avenue Zuni Hospital, Zuni NM 87327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Cooper, Johanna Karin can be contacted via phone (505) 782-4431.Contact Information
Primary practice address
Route 301 North & B Avenue Zuni Hospital
Zuni NM 87327
Phone: (505) 782-4431
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 236137 | Massachusetts |
Profile Details
NPI number | 1255477394 |
---|---|
LBN Legal business name | Cooper, Johanna Karin |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 2007 |
Last updated | Mar 20th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255477394 | NPPES |
New Mexico | MEDICAID | 65456327 |
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