Tina Coop Valid NPI
Individual provider · Family Nurse Practitioner · Frederick, MD
- NPI
- 1053144352
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- R243396 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-08-22
- Last updated
- 2024-11-11
Practice location
74 Thomas Johnson Dr
Frederick, MD 21702-4501
(301) 694-9033