Dr Tyler Dawn Cooper, PMHNP | |
2780 S Autosome Ln Apt A406, Magna, UT 84044-1477 | |
(775) 304-3811 | |
Not Available |
Full Name | Dr Tyler Dawn Cooper |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2780 S Autosome Ln Apt A406, Magna, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447928494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 220213775NP-PP (Oregon) | Primary |
Entity Name | Waterfall Clinic Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
Mailing Address | Practice Location Address |
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Dr Tyler Dawn Cooper, PMHNP 1300 N Bayshore Dr, Coos Bay, OR 97420-2526 Ph: (775) 304-3811 | Dr Tyler Dawn Cooper, PMHNP 2780 S Autosome Ln Apt A406, Magna, UT 84044-1477 Ph: (775) 304-3811 |
Lindsay Royer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Mr. Samuel Weston Potter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Monique Rose Poisson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Elizabeth Bernadette Borys, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W Ste 110, Magna, UT 84044 Phone: 801-250-9638 | |
Seida Leticia Rocha, A.P.R.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 | |
Ellen Marie Choi Kahn, MSN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W, Magna, UT 84044 Phone: 801-250-9638 |