Cooper, Donna Marie

Cooper, Donna Marie is an individual health care provider with primary practice located at 500 Arcade Ave Ste 400 , Elkhart IN 46514-2487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cooper, Donna Marie can be contacted via phone (574) 522-2284.

Contact Information

Primary practice address
500 Arcade Ave Ste 400 Elkhart IN 46514-2487
Phone: (574) 522-2284
Fax: (574) 522-3952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002700A Indiana

Profile Details

NPI number 1649404252
LBN Legal business name Cooper, Donna Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2009
Last updated Nov 21st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649404252 NPPES
Indiana MEDICAID 200977080

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