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Contact Information

ERIK F COOPER, CNP
1250 IDAHO ST
LEWISTON, ID83501-1965
 Phone: 208-743-7427
 Fax: 208-743-7421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ERIK F COOPER · (Male)

NPI # 1275893968
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 05/29/2012
Last updated 12/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # 72014-CNP
  • NM License # CNP-01988
  • OR License # 201702166NP-PP
  • ID Medicaid 1205368404
  • NM Medicaid 13671049
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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