Individual provider · Type 1 NPI
Eileen Mary Cooper, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1205322641
Active
Practice location
620 Madison St
Syracuse, NY 13210-2319
Mailing address
5813 N Burdick St
East Syracuse, NY 13057-9546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402445 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205322641
Eileen Mary Cooper, PMHNP's National Provider Identifier is 1205322641, issued on Jul 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Jul 9, 2018.