Cooper, Tawana

Cooper, Tawana is an individual health care provider with primary practice located at 1619 Creighton Rd Ste 1 , Pensacola FL 32504-7152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cooper, Tawana can be contacted via phone (850) 444-4700.

Contact Information

Primary practice address
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152
Phone: (850) 444-4700
Fax: (850) 434-8144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2858322 Florida

Profile Details

NPI number 1487656641
LBN Legal business name Cooper, Tawana
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 21st, 2022 - 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 1487656641 NPPES
Florida Other Y03TT BCBSFL
Florida MEDICAID 30636400 BCBSFL
Florida Other ARNP2858322 BCBSFL

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