Katelin Cooper, | |
1771 E Stearns St, Fayetteville, AR 72703-5055 | |
(479) 879-0774 | |
Not Available |
Full Name | Katelin Cooper |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1771 E Stearns St, Fayetteville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245603273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004572 (Arkansas) | Primary |
Entity Name | Ideal Option Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20200220002283 |
Entity Name | Ideal Telemedicine Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756 |
Mailing Address | Practice Location Address |
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Katelin Cooper, 1907 W Arrowhead St, Fayetteville, AR 72701-6738 Ph: (479) 879-2858 | Katelin Cooper, 1771 E Stearns St, Fayetteville, AR 72703-5055 Ph: (479) 879-0774 |
Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696 | |
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366 | |
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000 | |
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329 | |
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930 | |
Miss Sarah Anne Campbell, DNP, AGAC-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-8740 |