Individual provider · Type 1 NPI

Shakita Shantel Cooper

Licensed Practical Nurse · Buffalo, NY

NPI number 1508772377 Active

Practice location

83 Pershing Ave
Buffalo, NY 14211-2915

Call (716) 777-6990 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322409 (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 1508772377

Shakita Shantel Cooper's National Provider Identifier is 1508772377, issued on Aug 21, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Buffalo, NY. The record was last updated on Aug 21, 2026.