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Ms. Sandra M Cooper, CRNP
Adult Health Nurse Practitioner in Leesport, Pennsylvania
NPI 1750614483

Sandra M Cooper is an Adult Health Nurse Practitioner based in Bethlehem, PA and is specialized in Adult Health. Sandra M Cooper practices in Leesport, PA and has the professional credentials of CRNP. The NPI Number for Sandra M Cooper is 1750614483 and holds a License No. SP010119 (Pennsylvania).

The current practice location address for Sandra M Cooper is 5479 Pottsville Pike, Leesport, PA and can be reached out via phone at 610-916-1050.

Location: 5479 Pottsville Pike, Leesport, PA, 18020-8910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750614483
Provider Name
Sandra M Cooper
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
5479 Pottsville Pike, Leesport, PA, 18020-8910
Phone Number
610-916-1050
Fax Number
Provider Enumeration Date
09/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102509963 05 PA
institution
Provider Business Practice Location Address Details
Address
5479 Pottsville Pike
City
Leesport
State
Pennsylvania
Zip
19533-8633
Phone Number
610-916-1050
Fax Number
person
Provider Business Mailing Address Details
Address
5479 Pottsville Pike
City
Leesport
State
Pennsylvania
Zip
19533-8633
Phone Number
610-916-1050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
SP010119 (Pennsylvania)
Definition
Definition to come...
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