Individual provider · Type 1 NPI

Octavia Cooper, BSN, RN

Case Management Registered Nurse · Philadelphia, PA

NPI number 1104192236 Active

Practice location

1930 S Broad St
Philadelphia, PA 19145-2328

Call (215) 339-4343 Map

Mailing address

5 Fir Ct
Sicklerville, NJ 08081-2118

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse Primary	163WC0400X	RN-322666L (PA)

Case Management Registered Nurse: Definition to come...

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About NPI 1104192236

Octavia Cooper, BSN, RN's National Provider Identifier is 1104192236, issued on Mar 22, 2012. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 22, 2012.