Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Grant Wayne Cooper, MSCNFNP

Individual provider Family Nurse Practitioner · NPI 1205825148

Mr. Grant Wayne Cooper, MSCNFNP is a Family Nurse Practitioner in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005

Practice location Address checks out

6336 W Honeysuckle Dr
Glendale, AZ 85310-1824
Phone: (623) 204-4914
Fax: (623) 322-1809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP0851 (AZ)

Record details

NPI number1205825148
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCNFNP
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESJuly 13, 2026

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