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NPI Code Detail

MEDICARE: NATASHA COOPER FNP-C

MEDICARE: NATASHA 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
1363LF0000XFamily Nurse Practitioner71011415AIN

General Provider Information

NPI Number : 1720661333
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA COOPER FNP-C
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6191 N KEYSTONE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-2423
Country : US
Telephone Number : 317-257-6746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2021
Last Update Date : 01/06/2026

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Directions to “ NATASHA COOPER FNP-C” Practice Location

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