| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Roben Ho, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W Ste 110, 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 | |
Justin Ingraham, Nurse Practitioner Medicare: Not Enrolled in Medicare 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 |