Tracy Lynn Cooper, Care taker PCA
Technician, Attendant Care Provider in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1386512051
StatusActive
Last updated in NPPESOct 25, 2025
Details
- NPI
- 1386512051
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracy Lynn Cooper
- Credential
- Care taker PCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2025
- Certification date
- Oct 24, 2025
- Last updated
- Oct 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
4374 Wischamper StPort Charlotte, FL 33948-9329
Phone 407-375-1270
Mailing address
4374 Wischamper StPort Charlotte, FL 33948-9329
Phone 407-375-1270
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