National Provider Identifier

Destine Cooper

Destine Cooper is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 415-1429.

NPI 1003669359Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1003669359
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 08, 2024
Last Updated
April 08, 2024

Practice Location

  • 240 Oneida St
  • Rochester, NY 14621-4032

Phone: (585) 415-1429

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1003669359
Entity Type
Individual
Last Name
Cooper
First Name
Destine
Mailing Street Address
240 Oneida St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-4032
Mailing Country
US
Practice Street Address
240 Oneida St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-4032
Practice Country
US
Practice Phone
(585) 415-1429
Enumeration Date
April 08, 2024
Last Updated
April 08, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 08, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)