| NPI | 1124318159 |
|---|---|
| Professional Name | COOPER JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP11496) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ RN168022) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP5735) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-02-18 |