Individual provider · Type 1 NPI

Kantrelle Damone Cooper, LPN

Licensed Practical Nurse · Oak Creek, WI

NPI number 1760050306 Active

Practice location

2700 W Honadel Blvd
Oak Creek, WI 53154-2650

Call (414) 435-2005 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X325962-31 (WI)

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.

16 other providers at this address

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About NPI 1760050306

Kantrelle Damone Cooper, LPN's National Provider Identifier is 1760050306, issued on Jun 10, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oak Creek, WI. The record was last updated on Jun 10, 2021.