Cooper Johnson Np Llc

NPI 1114320405 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1114320405
Enumeration Date 10/01/2014
Last Updated 10/01/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LYNN COOPER LYNN
Position OWNER
Phone (928) 536-4322
Fax (928) 536-2395
Practice Location
815 N MAIN STREET
TAYLOR AZ, 85939, US
Phone (928) 536-4322
Fax (928) 536-2395
Business Location
PO BOX 889
OVERGAARD AZ, 85933-0889, US
Phone (928) 535-6667
Fax (928) 535-5561
Toxanomy
Taxonomy Code 363LF0000X
License State Arizona
License Number AP5735
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According to our database, Cooper Johnson Np Llc NPI is 1114320405, taxonomy code is 363LF0000X and license number is AP5735, license state is located at Arizona. Cooper Johnson Np Llc physically located at 815 N Main Street, Taylor AZ, 85939. NPI Number 1033115704 has the healthcare provider type.

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1114320405 NPI number is provided on an as is basis without warranty of any kind. 1114320405 is maintained by the National Plan & Provider Enumeration System. The contents of Cooper Johnson Np Llc are for informational purposes only.