Cooper, Mary Ellen

Cooper, Mary Ellen is an individual health care provider with primary practice located at 310 Old Ivy Way , Charlottesville VA 22903-4896. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cooper, Mary Ellen can be contacted via phone (434) 243-6950.

Contact Information

Primary practice address
310 Old Ivy Way Charlottesville VA 22903-4896
Phone: (434) 243-6950
Fax: (434) 243-6970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024183234 Virginia

Profile Details

NPI number 1467181743
LBN Legal business name Cooper, Mary Ellen
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2022
Last updated Nov 23rd, 2022 - about 4 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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