Autumn Cooper Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1356967921

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

RN163933 (AZ)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-06-19

Last updated

2020-06-19