Madison Nicole-Helena Cooper, CRNA
Nurse Anesthetist, Certified Registered in Columbus, NE. Individual provider (NPI-1).
NPI number1376118554
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1376118554
- Entity type
- Individual (NPI-1)
- Name
- Madison Nicole-Helena Cooper
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2021
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 101636 | NE | Yes |
Practice location
4600 38th StColumbus, NE 68601-1664
Phone 402-564-7118
Mailing address
4600 38th StColumbus, NE 68601-1664
Phone 402-564-7118
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