Provider Demographics
NPI:1184831059
Name:COOPER, CHERYL B (RNC,WHNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:B
Last Name:COOPER
Suffix:
Gender:F
Credentials:RNC,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 WIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-2265
Mailing Address - Country:US
Mailing Address - Phone:804-323-6912
Mailing Address - Fax:804-673-2013
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:SUITE 605
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1926
Practice Address - Country:US
Practice Address - Phone:804-285-8806
Practice Address - Fax:804-673-2013
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001047111163WW0101X
VA0024047111363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory