MEDICARE: MR. GRANT WAYNE COOPER MSCN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP0851	AZ

General Provider Information

NPI Number	:	1205825148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GRANT WAYNE COOPER MSCN FNP

Provider Business Mailing Address
First Line	:	6336 W HONEYSUCKLE DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85310-1824
Country	:	US
Telephone Number	:	623-204-4914
Fax Number	:	623-322-1809

Provider Business Practice Location Address
First Line	:	6336 W HONEYSUCKLE DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85310-1824
Country	:	US
Telephone Number	:	623-204-4914
Fax Number	:	623-322-1809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1588712749 — DR. MARGARET SY DMD
Practice Location Address:

633 N CENTRAL AVE STE 303
GLENDALE, CA
91203-1824

Practice Phone: 626-616-0704
Practice Fax:

1588786412 — MARGARET SY DMD, A PROFESSIONAL CORPORATION
Practice Location Address:

633 N CENTRAL AVE STE 303
GLENDALE, CA
91203-1824

Practice Phone: 626-616-0704
Practice Fax:

1477760882 — YING CHUNG YEAN DDS
Practice Location Address:

633 N CENTRAL AVE STE 303
GLENDALE, CA
91203-1824

Practice Phone: 818-242-4665
Practice Fax: 818-240-6045

1568649309 — WALTER T. DAVISON, M.D., P.A.
Practice Location Address:

2540 W DUNWOOD RD
GLENDALE, WI
53209-1824

Practice Phone: 414-228-8693
Practice Fax:

1124627880 — DR. BIREN PATEL OD
Practice Location Address:

1824 CHURCHILL LN
GLENDALE HEIGHTS, IL
60139-1303

Practice Phone: 630-998-0948
Practice Fax: 312-878-5608

1417609439 — BIREN PATEL OPTOMETRY LLC
Practice Location Address:

1824 CHURCHILL LN
GLENDALE HEIGHTS, IL
60139-1303

Practice Phone: 630-998-0948
Practice Fax:

Directions to “ MR. GRANT WAYNE COOPER MSCN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.