Individual provider · Type 1 NPI

Connie Cooper

Student in an Organized Health Care Education/Training Program · Salisbury, MD

NPI number 1285170068 Active

Practice location

1655 Woodbrooke Drive, Suite 102
Salisbury, MD 21804

Mailing address

20410 Century Blvd, Suite 215
Gathersburg, MD 20874-1186

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285170068

Connie Cooper's National Provider Identifier is 1285170068, issued on Jan 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salisbury, MD. The record was last updated on Jan 27, 2017.