Individual provider · Type 1 NPI
Shane Aldon Cooper, APRN
Psychiatric/Mental Health Nurse Practitioner · Camden, NJ
NPI number
1053910927
Active
Practice location
1 Cooper Plz
Camden, NJ 08103-1461
Mailing address
1 Federal St
Camden, NJ 08103-1088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NR21076200 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01084900 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053910927
Shane Aldon Cooper, APRN's National Provider Identifier is 1053910927, issued on Oct 22, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Camden, NJ. The record was last updated on Nov 30, 2020.