Richard Donald Cooper, RN
Registered Nurse, Emergency in Gallup, NM. Individual provider (NPI-1).
NPI number1043971237
StatusActive
Last updated in NPPESJan 10, 2022
Details
- NPI
- 1043971237
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Donald Cooper
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2022
- Certification date
- Jan 10, 2022
- Last updated
- Jan 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | RN9569086 | FL | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
7402 Pearly Everlasting AveTampa, FL 33619-6952
Phone 201-819-3607
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