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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255477394 NPPES
New Mexico MEDICAID 65456327

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