Individual provider · Type 1 NPI

Kaitlin Cooley, FNP-C

Nurse Practitioner · Meridian, ID

NPI number 1962160192 Active

Practice location

4740 N Penngrove Way Ste 100
Meridian, ID 83646-7446

Call (208) 938-3663 Map

Fax (208) 938-3664

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X58738 (ID)

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 1962160192

Kaitlin Cooley, FNP-C's National Provider Identifier is 1962160192, issued on Dec 5, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Aug 17, 2022.