Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Maryalice Cooper, CRNP

Individual provider Nurse Practitioner · NPI 1295320075

Anna Maryalice Cooper, CRNP is a Nurse Practitioner in Williamsport, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

700 High St
Williamsport, PA 17701-3100
Phone: (570) 321-3454
Fax: (570) 321-3455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP023296 (PA)

Record details

NPI number1295320075
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedMarch 4, 2021
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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