Provider Demographics
NPI:1932570744
Name:COOPER, ELIZABETH MAY (ARNP, CNS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MAY
Last Name:COOPER
Suffix:
Gender:F
Credentials:ARNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-2339
Mailing Address - Country:US
Mailing Address - Phone:407-509-5568
Mailing Address - Fax:
Practice Address - Street 1:510 HILL AVE
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2339
Practice Address - Country:US
Practice Address - Phone:407-509-5568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2501412363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner