MARY ELLEN COOPER

CHARLOTTESVILLE, VA
NPI1467181743
Former NameMARY HOGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024183234)
Enumeration Date2022-06-10
Last Update Date2022-11-23
Business Address
MARY ELLEN COOPER PMHNP
310 OLD IVY WAY
CHARLOTTESVILLE, VA 22903-4896
Phone number: 434-243-6950
Mailing Address
MARY ELLEN COOPER PMHNP
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: