Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 53-80224-112 | KS |
NPI | 1215508668 |
---|---|
Provider Name | Morgan Sharee Cooper |
First Address | Bel Aire, KS 67220-1978 |
Second Address | Wichita, KS 67214-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2021 |
Last Update Date | 07/07/2021 |