KRISTINE COOPER


Address: 22711 130th Ave, Laurelton, NY 11413-1354
Phone: 6462078437

KRISTINE COOPER (NPI# 1184131567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184131567
Entity Type Individual
Full Name KRISTINE COOPER
Credential NURSE PRACTITIONER
Practice Address 22711 130th Ave
Laurelton
NY 11413-1354
Practice Telephone 6462078437
Enumeration Date 2018-01-06
Last Update Date 2018-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F308199-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers KRISTINE COOPER

NPI Name Taxonomy Address Enumeration
1639158330 Kristine M. Cooper Internal Medicine 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2006-01-11

Office Location

Street Address 22711 130TH AVE
City LAURELTON
State NY
Zip Code 11413-1354

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1861091324 Stacey M Jantsch Nurse Practitioner 8237 Cicero Mills Rd, Cicero, NY 13039-8344 2020-10-25
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1104425891 Tze-hsuan Chao Nurse Practitioner 3916 Prince St Ste 257, Flushing, NY 11354-5367 2020-10-22
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Competitor

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City LAURELTON
Zip Code 11413

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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