Individual provider · Type 1 NPI

Tammy Lyvonne Cooper, APN-C

Adult Health Nurse Practitioner · Germantown, MD

NPI number 1720109846 Active

Practice location

12522 Great Park Cir #303
Germantown, MD 20876

Mailing address

PO Box 2718
Germantown, MD 20875-2718

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X26NJ00372800 (NJ)
Medical-Surgical Registered Nurse 163WM0705X26NR11441600 (NJ)
Psychiatric/Mental Health Registered Nurse 163WP0808X26NR11441600 (NJ)
Adult Health Nurse Practitioner 363LA2200XR233355 (MD)
Adult Health Nurse Practitioner 363LA2200XNP500005960 (DC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1720109846

Tammy Lyvonne Cooper, APN-C's National Provider Identifier is 1720109846, issued on Apr 3, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Germantown, MD. The record was last updated on Dec 21, 2023.