Michele Cooper, NP
Nurse Practitioner in Fountain Valley, CA. Individual provider (NPI-1).
NPI number1548242555
StatusActive
Last updated in NPPESMar 31, 2011
Details
- NPI
- 1548242555
- Entity type
- Individual (NPI-1)
- Name
- Ms. Michele Cooper
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Last updated
- Mar 31, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 453570 | CA | Yes |
Practice location
11420 Warner AveFountain Valley, CA 92708-2529
Phone 714-549-1300 · Fax 714-433-3100
Mailing address
2742 Dow AveTustin, CA 92780-7242
Phone 714-665-1600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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