Nicole Cooper
Individual provider Active NPI Licensed Practical Nurse · Westtown, NY
NPI 1508338161 · NPPES record last updated Dec 20, 2018
Key facts
- NPI
- 1508338161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 317928 (NY)
- Practice address
- 130 Whitford Rd
Westtown, NY 10998-3524 - Phone
- (845) 590-1681
- NPI assigned
- Dec 20, 2018
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 317928 | NY | Yes |
Addresses
Primary practice location
130 Whitford Rd
Westtown, NY 10998-3524
Mailing address
130 Whitford Rd
Westtown, NY 10998-3524
Other providers in Westtown, NY
- Jude Alfred
- Jessica Asia
- Jessica J Briecke
- Erin Jean Egresitz
- Larry E. Fields
- David Andrew Freda
- Chelsea Hagans-Lynch
- Marian Hammaren
All providers in Westtown, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2018. 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.