Julie Ann Cooper, RN

Individual provider Active NPI Home Health Registered Nurse · Afton, WY

NPI 1386166999 · NPPES record last updated Jul 14, 2017

Key facts

NPI
1386166999
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
21088 (WY)
Practice address
81 West 6TH Avenue
Afton, WY 83110-1176
Phone
(304) 248-3952
Fax
(307) 885-7584
NPI assigned
Jul 14, 2017
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
21088WYMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 21088 WY Yes

Addresses

Primary practice location

81 West 6TH Avenue
Afton, WY 83110-1176

Mailing address

PO Box 1176
Afton, WY 83110-1176
Phone (307) 248-3952

Other providers in Afton, WY

All providers in Afton, WY · Home Health Registered Nurse in Wyoming

Sources for this page

Verify at the official NPI Registry.