Ivory D Cooley in Freeport - Registered Nurse

Ivory D Cooley - NPI 1104020825

Ivory D Cooley is a Registered Nurse in Freeport, Illinois. Ivory D Cooley practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Ivory D Cooley is 1104020825. The last update date is 2007-07-08.

Ivory D Cooley's current location address is 701 W Lamm Rd, Freeport, Illinois. You can contact this provider via phone number 8152336162 and fax number 8152336167. The mailing address for Ivory D Cooley is 701 W Lamm Rd, Freeport, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivory D Cooley
Address 701 W Lamm Rd, Freeport, Illinois
Phone Number 8152336162
Fax Number 8152336167
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1104020825
Provider Enumeration Date 2007-06-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 701 W Lamm Rd
City Freeport
State Illinois (IL)
Post Code 610329630
Phone Number 8152336162
Fax Number 8152336167

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

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FAQs about Ivory D Cooley

What is the unique 10-digit identifier code issued to Ivory D Cooley by the Centers for Medicare & Medicaid Services?

The Ivory D Cooley has been assigned the NPI (National Provider Identifier) 1104020825 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Ivory D Cooley is physically located?

The Ivory D Cooley is physically situated at the following address: 701 W Lamm Rd, Freeport, IL, 610329630.

What is Ivory D Cooley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ivory D Cooley's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.

On what date did the Ivory D Cooley receive the assignment of its 1104020825 from the Centers for Medicare & Medicaid Services?

The Ivory D Cooley was issued its 1104020825 by the Centers for Medicare & Medicaid Services on 2007-06-14.

When was the information related to Ivory D Cooley most recently updated or refreshed?

The details pertaining to the Ivory D Cooley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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