Provider Demographics
NPI:1922242528
Name:COOPER, LINDA L (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:COOPER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 E PIMA ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3320
Mailing Address - Country:US
Mailing Address - Phone:520-232-8417
Mailing Address - Fax:520-232-8401
Practice Address - Street 1:3645 E PIMA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3320
Practice Address - Country:US
Practice Address - Phone:520-232-8417
Practice Address - Fax:520-232-8401
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN051586163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool