Raylynne J Cooper, CNA
Individual provider Active NPI Homemaker · Loa, UT
NPI 1205007473 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1205007473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 175 E 300 S
Loa, UT 84747-0534 - Phone
- (435) 836-3600
- Fax
- (435) 836-3600
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
175 E 300 S
Loa, UT 84747-0534
Mailing address
175 E 300 S
Loa, UT 84747-0534
Phone (435) 836-3600
Other providers in Loa, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.