IndividualActive
Cypress Cooper, NP
NPI 1104551324 · Acute Care Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1104551324
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 73581 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3525 E Louise Dr Ste 195
Meridian, ID 83642-6303
Phone: (208) 846-8335
Fax: (208) 846-8336
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.