Provider Demographics
NPI:1942926084
Name:COOPER, NANCY RENEE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:RENEE
Last Name:COOPER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 AUSTINTOWN WARREN RD
Mailing Address - Street 2:
Mailing Address - City:MINERAL RIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:44440-9319
Mailing Address - Country:US
Mailing Address - Phone:330-501-7741
Mailing Address - Fax:
Practice Address - Street 1:913 COLUMBIANA CANFIELD RD
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-9457
Practice Address - Country:US
Practice Address - Phone:330-482-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.358542163W00000X
OHAPRN.CNP.0028943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse