Healthcare Provider Details

I. General information

NPI: 1366333205
Provider Name (Legal Business Name): EMMA COOPER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 ROCKLAND ST STE A
READING PA
19604-1501
US

IV. Provider business mailing address

1224 HILLTOP RD
CHESTER SPRINGS PA
19425-2804
US

V. Phone/Fax

Practice location:
  • Phone: 610-988-4838
  • Fax:
Mailing address:
  • Phone: 484-624-7125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP033334
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: