Provider Demographics
NPI:1437336815
Name:COOPER, DENISE LESLIE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LESLIE
Last Name:COOPER
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:1125 MADISON ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-5227
Practice Address - Country:US
Practice Address - Phone:573-632-5000
Practice Address - Fax:573-632-5876
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2025-05-20
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Provider Licenses
StateLicense IDTaxonomies
MO2010003363367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered