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NPI Code Detail

MEDICARE: MARCIA COOPER

MEDICARE: MARCIA COOPER
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
1163WP0200XPediatric Registered NurseR166094MD

General Provider Information

NPI Number : 1134065691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA COOPER
Provider Business Mailing Address
First Line : 8110 MISSISSIPPI RD
Second Line :
City : LAUREL
State : MD
Zip : 20724-6123
Country : US
Telephone Number : 240-601-0121
Fax Number :
Provider Business Practice Location Address
First Line : 12501 PROSPERITY DR STE 100
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-1647
Country : US
Telephone Number : 301-681-6730
Fax Number : 301-681-4268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ MARCIA COOPER ” Practice Location

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