Individual provider · Type 1 NPI
Crystal Marie Cooper, AGPCNP
Primary Care Nurse Practitioner · Shenandoah, TX
NPI number
1609566413
Active
Practice location
920 Medical Plaza Dr
Shenandoah, TX 77380-3260
Mailing address
10810 Hillside Creek Dr
Humble, TX 77396-5011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1126708 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1609566413
Crystal Marie Cooper, AGPCNP's National Provider Identifier is 1609566413, issued on May 15, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Shenandoah, TX. The record was last updated on Jun 21, 2023.