Cooper, Mekenzie

Cooper, Mekenzie is an sole proprietor health care provider with primary practice located at 361 E 1200 S Ste 201 , Orem UT 84058-6904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cooper, Mekenzie can be contacted via phone (801) 224-3014.

Contact Information

Primary practice address
361 E 1200 S Ste 201 Orem UT 84058-6904
Phone: (801) 224-3014
Fax: (801) 224-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5646800-4405 Utah

Profile Details

NPI number 1861701344
LBN Legal business name Cooper, Mekenzie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2010
Last updated Dec 2nd, 2022 - about 2 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 1861701344 NPPES
Utah MEDICAID 876000308007
Utah Other 260022408

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