Provider Demographics
NPI:1598015794
Name:COOPER, KAREN ELIZABETH (RN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:COOPER
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Gender:F
Credentials:RN, NP-C
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6807 EMMETT F LOWRY EXPY STE 305
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2548
Mailing Address - Country:US
Mailing Address - Phone:409-934-8687
Mailing Address - Fax:409-934-8689
Practice Address - Street 1:6807 EMMETT F LOWRY EXPY STE 305
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2548
Practice Address - Country:US
Practice Address - Phone:409-934-8687
Practice Address - Fax:409-934-8689
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX569012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily