Individual provider · Type 1 NPI

Diane Lisa Cooper, RN

Community Health Registered Nurse · Provo, UT

NPI number 1861564080 Active

Practice location

151 S University Ave # 1900
Provo, UT 84601-4427

Fax (801) 343-8724

Mailing address

86 S 300 E
Springville, UT 84663-1424

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X263653-3101 (UT)

Community Health Registered Nurse: Definition to come...

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About NPI 1861564080

Diane Lisa Cooper, RN's National Provider Identifier is 1861564080, issued on Nov 14, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Provo, UT. The record was last updated on Jul 9, 2007.