Provider Demographics
NPI:1033737424
Name:COOPER, NATALIE NICOLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:NICOLE
Last Name:COOPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:NICOLE
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 N 6TH ST # A
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5567
Mailing Address - Country:US
Mailing Address - Phone:032-328-9289
Mailing Address - Fax:903-918-1813
Practice Address - Street 1:1300 N 6TH ST # A
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601
Practice Address - Country:US
Practice Address - Phone:903-232-8928
Practice Address - Fax:903-918-1813
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR121755363LF0000X
TX1031968363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily