Cooper, Linnea Kristin

Cooper, Linnea Kristin is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cooper, Linnea Kristin can be contacted via phone (360) 428-6434.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60187567 Washington

Profile Details

NPI number 1942500731
LBN Legal business name Cooper, Linnea Kristin
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2010
Last updated Oct 25th, 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 1942500731 NPPES
Washington MEDICAID 2011181

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