NPI 1073293106

Nicole J Cooper

Practitioner Community Health Worker Lorain, OH

Practice location

Address: 2173 N Ridge Rd E STE E&g, Lorain, OH 44055-3400
Phone: (440) 260-6835
Mailing address: 434 Eastland Rd, Berea, OH 44017-1217

Registered specialties (3)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073293106
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2023
Record last updated: 2 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.