Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREY COOPER
Active Sole ProprietorAUDREY COOPER is a Physician Assistant healthcare provider located in TUSTIN, Michigan. NPI 1003407867 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TUSTIN, MI
Registration Details
- NPI Number
- 1003407867
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2021 (5.5600321769847 yrs)
- Last Updated
- Oct 28, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
22560 130TH AVETUSTIN, MI, 496888565Browse MI providers · Browse ZIP 49688
- Phone
- 2312061626
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.