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NPI Code Detail

MEDICARE: EMILY NADINE COOPER FNP

MEDICARE:   EMILY NADINE COOPER  FNP
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
1363LF0000XFamily Nurse PractitionerRN196179MD

General Provider Information

NPI Number : 1336667021
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NADINE COOPER FNP
Provider Business Mailing Address
First Line : 7870 HAMPTON WAY
Second Line :
City : OWINGS
State : MD
Zip : 20736-3800
Country : US
Telephone Number : 301-855-2157
Fax Number :
Provider Business Practice Location Address
First Line : 5100 BUCKEYSTOWN PIKE STE 186
Second Line :
City : FREDERICK
State : MD
Zip : 21704-8337
Country : US
Telephone Number : 301-682-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2017
Last Update Date : 09/02/2017

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Directions to “ EMILY NADINE COOPER FNP” Practice Location

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