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NPI Code Detail

MEDICARE: MRS. SARAH ELIZABETH COOPER FNP

MEDICARE: MRS. SARAH ELIZABETH 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
1363L00000XNurse Practitioner71002257AIN
2363LF0000XFamily Nurse Practitioner71002257AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922187301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ELIZABETH COOPER FNP
Provider Business Mailing Address
First Line : 4778 S SCATTERFIELD RD
Second Line :
City : ANDERSON
State : IN
Zip : 46013-2908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4778 S SCATTERFIELD RD
Second Line :
City : ANDERSON
State : IN
Zip : 46013-2908
Country : US
Telephone Number : 765-646-6331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2006
Last Update Date : 10/26/2022

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