Ashley Minton Cooper, MSN, CPNP

Individual provider Active NPI Pediatric Nurse Practitioner · Conover, NC

NPI 1437704392 · NPPES record last updated Aug 7, 2019

Key facts

NPI
1437704392
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
5012062 (NC)
Practice address
3411 Graystone PL SE
Conover, NC 28613-8200
Phone
(828) 328-1118
Fax
(828) 328-1119
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5012062NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unifour Pediatrics, PA Past
since Aug 11, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5012062 NC Yes

Addresses

Primary practice location

3411 Graystone PL SE
Conover, NC 28613-8200

Mailing address

3411 Graystone PL SE
Conover, NC 28613-8200
Phone (828) 328-1118

Other providers in Conover, NC

All providers in Conover, NC · Pediatric Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.