Provider Demographics
NPI:1902995848
Name:COOPER-PIELA, REBECCA SUZANNE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:SUZANNE
Last Name:COOPER-PIELA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 TYLER ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2951
Mailing Address - Country:US
Mailing Address - Phone:603-595-0063
Mailing Address - Fax:603-595-9419
Practice Address - Street 1:19 TYLER ST
Practice Address - Street 2:SUITE 301
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2951
Practice Address - Country:US
Practice Address - Phone:603-595-0063
Practice Address - Fax:603-595-9419
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0392982305363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008919Medicaid
NHNP 0982Medicare ID - Type Unspecified
S51529Medicare UPIN