Provider Demographics
NPI:1902605264
Name:COOPER, ALYSSA ASHLEY (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ASHLEY
Last Name:COOPER
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6727 W JEWELL PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2508
Mailing Address - Country:US
Mailing Address - Phone:563-380-6789
Mailing Address - Fax:
Practice Address - Street 1:11 W DRY CREEK CIR STE 120
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8078
Practice Address - Country:US
Practice Address - Phone:303-951-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1001212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily