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MRS. MARY LYNN COOPER N.P.
Gerontology >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1194138586
Individual Registrant:MRS. MARY LYNN COOPER N.P.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5701 N UNIVERSITY DR PARKLAND, FL 33067-1703 US
Tel: 954-518-7500 Fax: 954-518-7501
Tel: 954-518-7500 Fax: 954-518-7501
Contact information for business:
8687 SW 50TH ST COOPER CITY, FL 33328-3703 US
Tel: 954-914-3356 Fax: --
Tel: 954-914-3356 Fax: --
Registration Information:
NPI: 1194138586
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology | FL | 1944362 |
| Y | 207Y00000X | Allopathic & Osteopathic Physicians Otolaryngology | FL | 1944362 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
