Provider Demographics
NPI:1265862692
Name:COOPER, ANDREA KAREN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:KAREN
Last Name:COOPER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:9104 BABCOCK BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5818
Mailing Address - Country:US
Mailing Address - Phone:412-364-5834
Mailing Address - Fax:412-369-9984
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:412-364-5834
Practice Address - Fax:412-369-9984
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP013408363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics