Ellen Cooperman

Individual provider Active NPI Licensed Practical Nurse · Hellertown, PA

NPI 1669864328 · NPPES record last updated Mar 4, 2015

Key facts

NPI
1669864328
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN274569 (PA)
Practice address
427 Main St
Hellertown, PA 18055-1721
Phone
(610) 814-7300
Fax
(484) 241-4490
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN274569PAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN274569 PA Yes

Addresses

Primary practice location

427 Main St
Hellertown, PA 18055-1721

Mailing address

427 Main St
Hellertown, PA 18055-1721
Phone (610) 814-7300

Other providers in Hellertown, PA

All providers in Hellertown, PA · Licensed Practical Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.