Kathryn May Cooper

Individual provider Active NPI Advanced Practice Midwife · Tamuning, GU

NPI 1831864693 · NPPES record last updated Sep 12, 2021

Key facts

NPI
1831864693
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
Practice address
472 Chalan San Antonio
Tamuning, GU 96913-3605
Phone
(671) 300-6310
Fax
(671) 647-1919
NPI assigned
Aug 13, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X GU Yes

Addresses

Primary practice location

472 Chalan San Antonio
Tamuning, GU 96913-3605

Mailing address

475 Chalan San Antonio Pemar Place
Tamuning, GU 96913
Phone (671) 300-6310

Other providers in Tamuning, GU

All providers in Tamuning, GU · Advanced Practice Midwife in Guam

Sources for this page

Verify at the official NPI Registry.