Dyan Renee Cooper in Saint Louis - Pediatrics
Dyan Renee Cooper - NPI 1578739124
Dyan Renee Cooper is a Pediatrics in Saint Louis, Missouri. Dyan Renee Cooper practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dyan Renee Cooper is 1578739124. The last update date is 2021-11-15.
Dyan Renee Cooper's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3144542810 and fax number 3144542816. The mailing address for Dyan Renee Cooper is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dyan Renee Cooper |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 3144542810 |
| Fax Number | 3144542816 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1578739124 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2021-11-15 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 3144542810 |
| Fax Number | 3144542816 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 2007036004 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425534203 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dyan Renee Cooper by the Centers for Medicare & Medicaid Services (CMS)?
The Dyan Renee Cooper has been assigned the NPI (National Provider Identifier) 1578739124. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Dyan Renee Cooper's facilities are situated?
The facilities of Dyan Renee Cooper are physically located at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.
What is Dyan Renee Cooper's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dyan Renee Cooper's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
When did the Dyan Renee Cooper receive its 1578739124?
The Dyan Renee Cooper was issued its 1578739124 on 2008-05-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Dyan Renee Cooper most recently updated or revised?
The information pertaining to Dyan Renee Cooper, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-15.
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