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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI JO COOPER, PNP

Active

HEIDI JO COOPER, PNP is a Pediatric Nurse Practitioner healthcare provider located in LIBERTY LAKE, Washington. NPI 1629661210 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · LIBERTY LAKE, WA

Registration Details

NPI Number
1629661210
Provider Type
Individual
Gender
Female
NPI Issued
Feb 16, 2021 (5.4540806982248 yrs)
Last Updated
Feb 4, 2026
Licenses
AP61677729 (WA)
NP74551 (ID)

Practice Information

Address
2310 N MOLTER RD STE 206
LIBERTY LAKE, WA, 990198621
Browse WA providers · Browse ZIP 99019
Phone
5092894969
Fax
5092894968
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner
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.