MEDICARE: APRIL HELEN COOPER APRN BC

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
1	363LF0000X	Family Nurse Practitioner	APN001012	NV

General Provider Information

NPI Number	:	1538154448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL HELEN COOPER APRN BC

Provider Business Mailing Address
First Line	:	6230 MCLEOD DR
Second Line	:	SUITE 140B
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4456
Country	:	US
Telephone Number	:	702-362-9930
Fax Number	:	702-362-9954

Provider Business Practice Location Address
First Line	:	5741 S FORT APACHE RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5664
Country	:	US
Telephone Number	:	702-362-9930
Fax Number	:	702-362-9954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	06/17/2015

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