NPI 1235901745 · live from the CMS NPI Registry
Amanda Cooper
Nurse Practitioner, Pediatrics in Gurley, AL. National Provider Identifier 1235901745, active.
NPI record
| NPI | 1235901745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 14 Taylors Brook Way Se, Gurley, AL 35748 |
| Practice phone | 203-564-0666 |
| Enumerated | October 27, 2023 |
| Last updated | October 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-195825 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.