Individual provider · Type 1 NPI
Grant Wayne Cooper, MSCN FNP
Family Nurse Practitioner · Glendale, AZ
NPI number
1205825148
Active
Practice location
6336 W Honeysuckle Dr
Glendale, AZ 85310-1824
Fax (623) 322-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP0851 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205825148
Grant Wayne Cooper, MSCN FNP's National Provider Identifier is 1205825148, issued on Oct 13, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 13, 2026.