OCTAVIA COOPER BSN, RN
NPI 1104192236
Registered Nurse - Case Management in Philadelphia, PA
About Octavia Cooper Bsn, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OCTAVIA COOPER BSN, RN (NPI 1104192236) is an individual case management provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN-322666L) and active in the NPI registry since March 2012.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19145
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Octavia Cooper's NPI number?
The NPI number for Octavia Cooper is 1104192236. It was assigned to this individual provider in the NPPES registry on March 22, 2012.
Where is Octavia Cooper located?
Octavia Cooper practices at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (215) 339-4343.
What is Octavia Cooper's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.
When was this NPI record last updated?
The NPPES record for Octavia Cooper was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Octavia Cooper, BSN, RN · NPI 1104192236
Case Management provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 22, 2012.
## Identity
- **NPI:** 1104192236 (Entity type: Individual)
- **Enumerated:** March 22, 2012
- **Primary specialty:** Registered Nurse - Case Management · taxonomy 163WC0400X
- **State license:** RN-322666L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1930 S BROAD ST, Philadelphia, PA 19145-2328
- **Phone:** (215) 339-4343
## Record status
- **NPPES last updated:** March 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1104192236) · Data from the CMS NPPES public registry.