Carly Joy Cooper, | |
2900 Plank Rd, Altoona, PA 16601-9361 | |
(814) 944-4722 | |
(814) 266-2880 |
Full Name | Carly Joy Cooper |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2900 Plank Rd, Altoona, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346022456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN627642 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP029281 (Pennsylvania) | Primary |
Entity Name | Nulton Diagnostic &treatment Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665 |
Mailing Address | Practice Location Address |
---|---|
Carly Joy Cooper, 2900 Plank Rd, Altoona, PA 16601-9361 Ph: (814) 944-4722 | Carly Joy Cooper, 2900 Plank Rd, Altoona, PA 16601-9361 Ph: (814) 944-4722 |
Erin M Yesenosky, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 | |
Jessica Lyn Cherry, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 914-942-9500 | |
Devin Lee Petulla, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-8046 Fax: 814-946-3693 | |
Robyn J Daniels, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Op-2, Altoona, PA 16601 Phone: 814-889-6980 Fax: 814-889-6994 | |
Allison Denae Walters, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2004 Parkway Dr, Altoona, PA 16602 Phone: 814-327-3288 | |
Joshua Mahute, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-3089 | |
Jason Zimmerman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2907 Pleasant Valley Blvd, Altoona, PA 16602 Phone: 814-943-8164 |