Provider Demographics
NPI:1477644417
Name:COOPER, ANNE S (CNM)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:COOPER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:555 EAST VALLEY PARKWAY
Mailing Address - Street 2:LABOR AND DELIVERY
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-739-2400
Mailing Address - Fax:
Practice Address - Street 1:555 EAST VALLEY PARKWAY
Practice Address - Street 2:LABOR AND DELIVERY
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-739-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANMW1689367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife