Active NPIIndividual provider

Octavia Cooper, BSN, RN

Registered Nurse, Case Management in Philadelphia, Pennsylvania

NPI Number1104192236
Practice location
1930 S Broad St, Philadelphia, PA 19145-2328
Fax
—
Last updated
March 22, 2012

Octavia Cooper is a Registered Nurse, Case Management based in Philadelphia, PA. Octavia Cooper practices in Philadelphia, PA and has the professional credentials of BSN, RN. The NPI Number for Octavia Cooper is 1104192236 and holds a License No. RN-322666L (PA). The current practice location address for Octavia Cooper is 1930 S Broad St, Philadelphia, PA 19145-2328 and can be reached out via phone at 215-339-4343.

Provider Profile Details

NPI Number
1104192236
Provider Name
Octavia Cooper
Credential
BSN, RN
Provider Entity Type
Individual
Gender
Female
Address
1930 S Broad St, Philadelphia, PA 19145-2328
Phone Number
215-339-4343
Primary Taxonomy
Registered Nurse, Case Management · 163WC0400X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2012
Last Update Date
March 22, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1930 S Broad St
Philadelphia, PA 19145-2328
Zip
19145-2328
Phone Number
215-339-4343
Philadelphia, PA 19145Get directions →

Provider Business Mailing Address Details

Address
5 Fir CT
Sicklerville, NJ 08081-2118
City
Sicklerville
State
NJ
Zip
08081-2118
Phone Number
856-228-8545

License Information

License Number
RN-322666L
License State
PA
Taxonomy
Registered Nurse, Case Management · 163WC0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Octavia Cooper, BSN, RN?

The NPI number of Octavia Cooper, BSN, RN is 1104192236. It was assigned on March 22, 2012 and is currently active in the NPPES registry.

What is the specialty of Octavia Cooper, BSN, RN?

Octavia Cooper, BSN, RN is registered under the primary taxonomy Registered Nurse, Case Management (code 163WC0400X), licensed in PA under license number RN-322666L.

Where does Octavia Cooper, BSN, RN practice?

The practice location is 1930 S Broad St, Philadelphia, PA 19145-2328. The office can be reached at 215-339-4343 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104192236 directly on the NPPES registry website.

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