Individual provider · Type 1 NPI

Cicily Raye Cooper, FNP

Family Nurse Practitioner · San Francisco, CA

NPI number 1518573161 Active

Practice location

1735 Mission St
San Francisco, CA 94103-2417

Mailing address

1179 N Mcdowell Blvd
Petaluma, CA 94954-6559

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95015489 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1518573161

Cicily Raye Cooper, FNP's National Provider Identifier is 1518573161, issued on Sep 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Francisco, CA. The record was last updated on Dec 13, 2021.