Provider Demographics
NPI:1992499768
Name:COONEY, MICHELE MARIE (RN)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARIE
Last Name:COONEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5244 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16412-1532
Mailing Address - Country:US
Mailing Address - Phone:814-431-0826
Mailing Address - Fax:
Practice Address - Street 1:10 VO TECH DR
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-3502
Practice Address - Country:US
Practice Address - Phone:814-431-0826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARNRN325749L163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology