SHAWNTAY COOPER
NPI 1659843217
Licensed Practical Nurse in Novi, MI
- Individual
- Female
- Licensed Practical Nurse
About SHAWNTAY COOPER
This page provides the complete NPI Profile along with additional information for Shawntay Cooper, a provider established in Novi, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1659843217 assigned on December 2018. The practitioner's primary taxonomy code is 164W00000X with license number 4703121164 (MI). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1659843217 Verify this NPI
- Provider Name
- SHAWNTAY COOPER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 41521 W 11 MILE RD NOVI, MI 48375
- Location Phone
- (248) 299-0030
- Mailing Address
- 41521 W 11 MILE RD NOVI, MI 48375
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-20-2018
- Last Update Date
- 12-20-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 4703121164
- License State
- MI
- Taxonomy Description
- A licensed practical nurse 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659843217, enumerated as an "individual" on December 20, 2018.
The provider is located at 41521 W 11 MILE RD NOVI, MI 48375 and the phone number is (248) 299-0030.
Licensed Practical Nurse with taxonomy code 164W00000X.