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

Ethan Cord Cooper, RN

Individual provider Registered Nurse · NPI 1851070395

Ethan Cord Cooper, RN is a Registered Nurse in Gallup, New Mexico. Licensed in Arkansas. Registered with an NPI since 2023.

Licensed in
AR
In the registry since
2023
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R098715 (AR)

Record details

NPI number1851070395
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address516 E Nizhoni Blvd, Gallup, NM 87301-5748

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