Most Relevant Information
Provider Data
| NPI Number: | 1003072349 |
| Provider Name: | PAMELA LYNN COOPER PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704209177 |
Most Important Dates
| Enumeration Date: | 08/06/2008 |
| Last Updated: | 08/06/2008 |
Provider Practice Location
12734 KENWOOD LN
SUITE 84
FORT MYERS
FL
339075666
Practice Location Phone/Fax
| Phone: | 8669365250 |
| Fax: |
Provider Mailing Location
12734 KENWOOD LN
SUITE 84
FORT MYERS
FL
339075666
Provider Mailing Phone/Fax
| Phone: | 8669365250 |
| Fax: |