Ethan Cord Cooper, RN Valid NPI

Individual provider · Registered Nurse · Gallup, NM

NPI

1851070395

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

R098715 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2023-07-12

Last updated

2023-07-12