Cooper, Grant Wayne
Cooper, Grant Wayne is an individual health care provider with primary practice located at 6336 W Honeysuckle Dr , Glendale AZ 85310-1824. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Cooper, Grant Wayne can be contacted via phone (623) 204-4914.Contact Information
Primary practice address
6336 W Honeysuckle Dr
Glendale AZ 85310-1824
Phone: (623) 204-4914
Fax: (623) 322-1809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP0851 | Arizona |
Profile Details
| NPI number | 1205825148 |
|---|---|
| LBN Legal business name | Cooper, Grant Wayne |
| Credentials | MSCN FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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