Provider Demographics
NPI:1730861873
Name:COOPER, BRITTNEY ROSHAUN
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ROSHAUN
Last Name:COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:ROSHAUN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8316 NW 113TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-2136
Mailing Address - Country:US
Mailing Address - Phone:405-420-8900
Mailing Address - Fax:
Practice Address - Street 1:8316 NW 113TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-2136
Practice Address - Country:US
Practice Address - Phone:405-420-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator