Provider Demographics
NPI:1093563843
Name:COOLEY, EMILY NICOLE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:NICOLE
Last Name:COOLEY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12507 OLD RIVER DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-8709
Mailing Address - Country:US
Mailing Address - Phone:832-317-4729
Mailing Address - Fax:
Practice Address - Street 1:9675 EAGLE DR STE 105
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-5607
Practice Address - Country:US
Practice Address - Phone:832-307-7106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily