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NPI Code Detail

MEDICARE: MS. JANET KNAPP COOPER N.P.

MEDICARE: MS. JANET KNAPP COOPER N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner69162NM
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN123378AZ

General Provider Information

NPI Number : 1356451769
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET KNAPP COOPER N.P.
Provider Business Mailing Address
First Line : PO BOX 131
Second Line :
City : CLIFF
State : NM
Zip : 88028-0131
Country : US
Telephone Number : 575-284-6870
Fax Number :
Provider Business Practice Location Address
First Line : 880 N COLORADO ST
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3419
Country : US
Telephone Number : 480-820-0825
Fax Number : 480-820-7863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/09/2022

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