Individual provider · Type 1 NPI

Dominique Cooper

Licensed Practical Nurse · Bronx, NY

NPI number 1073186706 Active

Practice location

4000 Edson Ave
Bronx, NY 10466-2244

Call (347) 951-3027 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X336553 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1073186706

Dominique Cooper's National Provider Identifier is 1073186706, issued on Jul 21, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Jul 21, 2021.