Cooper, Nancy J

Cooper, Nancy J is an individual health care provider with primary practice located at 14780 W. Mountain View Blvd. Suite 110, Surprise AZ 85374-7280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cooper, Nancy J can be contacted via phone (623) 374-7774.

Contact Information

Primary practice address
14780 W. Mountain View Blvd. Suite 110 Surprise AZ 85374-7280
Phone: (623) 374-7774
Fax: (877) 796-5302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2489 Arizona

Profile Details

NPI number 1346241940
LBN Legal business name Cooper, Nancy J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Apr 17th, 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 1346241940 NPPES
Arizona MEDICAID 711483

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