Provider Demographics
NPI:1427494111
Name:COOPER, SIOBHAN MURRAY (CPNP)
Entity type:Individual
Prefix:MRS
First Name:SIOBHAN
Middle Name:MURRAY
Last Name:COOPER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:SIOBHAN
Other - Middle Name:MURRAY
Other - Last Name:DALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:MLC 2021
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-636-4415
Mailing Address - Fax:513-636-7805
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:MLC 2021
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4415
Practice Address - Fax:513-636-7805
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.16475-NP363LP0200X
OHAPRN.CNP.16475363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics