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Kantrelle Damone Cooper, LPN
Licensed Practical Nurse in Oak Creek, Wisconsin
NPI 1760050306

Kantrelle Damone Cooper is a Licensed Practical Nurse based in Oak Creek, WI. Kantrelle Damone Cooper practices in Oak Creek, WI and has the professional credentials of LPN. The NPI Number for Kantrelle Damone Cooper is 1760050306 and holds a License No. 325962-31 (Wisconsin).

The current practice location address for Kantrelle Damone Cooper is 2700 W Honadel Blvd, Oak Creek, WI and can be reached out via phone at 414-435-2005.

Location: 2700 W Honadel Blvd, Oak Creek, WI, 53154-2650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760050306
Provider Name
Kantrelle Damone Cooper
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
2700 W Honadel Blvd, Oak Creek, WI, 53154-2650
Phone Number
414-435-2005
Fax Number
Provider Enumeration Date
06/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 W Honadel Blvd
City
Oak Creek
State
Wisconsin
Zip
53154-2650
Phone Number
414-435-2005
Fax Number
person
Provider Business Mailing Address Details
Address
2700 W Honadel Blvd
City
Oak Creek
State
Wisconsin
Zip
53154-2650
Phone Number
414-435-2005
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
325962-31 (Wisconsin)
Definition
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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