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NPI Code Detail

MEDICARE: MRS. PAIGE E. COOPER FNP-C

MEDICARE: MRS. PAIGE E. COOPER FNP-C
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
1207Q00000XFamily Medicine Physician0024192980VA
2207Q00000XFamily Medicine PhysicianACOO7567MD

General Provider Information

NPI Number : 1699569400
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAIGE E. COOPER FNP-C
Provider Business Mailing Address
First Line : 2003 DAVIDSONVILLE RD
Second Line :
City : CROFTON
State : MD
Zip : 21114-1317
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2003 DAVIDSONVILLE RD
Second Line :
City : CROFTON
State : MD
Zip : 21114-1317
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2025
Last Update Date : 01/15/2026

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