National Provider Identifier
Pamela D Cooper, LPN
Pamela D Cooper, LPN is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 498-6326.
Profile Overview
- NPI
- 1700071362
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- September 07, 2007
- Last Updated
- June 24, 2024
Practice Location
- 480 Penbrooke Drive, Suite 6, Penfield, Ny 14526
- 309 Latona RD.
- Rochester, NY 14626-2117
Phone: (585) 498-6326
Mailing Address
- 309 Latona RD
- Rochester, NY 14626-2711
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1700071362
- Entity Type
- Individual
- Last Name
- Cooper
- First Name
- Pamela
- Middle Name
- D
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 309 Latona RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2711
- Mailing Country
- US
- Mailing Phone
- (585) 498-6326
- Practice Street Address
- 480 Penbrooke Drive, Suite 6, Penfield, Ny 14526
- Practice Address Line 2
- 309 Latona RD.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-2117
- Practice Country
- US
- Practice Phone
- (585) 498-6326
- Enumeration Date
- September 07, 2007
- Last Updated
- June 24, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)
- Other Identifiers
- 02688186 (NY)