Individual provider · Type 1 NPI

Cody Edward Cooper, CRNP

Nurse Practitioner · Williamsport, PA

NPI number 1649889205 Active

Practice location

740 High St Ste 1003
Williamsport, PA 17701-3102

Call (570) 321-3160 Map

Fax (570) 321-3161

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP022138 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649889205

Cody Edward Cooper, CRNP's National Provider Identifier is 1649889205, issued on Jul 29, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Williamsport, PA. The record was last updated on Jul 31, 2020.