Individual ProviderRisharddnae Shawneice CooperTechnicianNursing Service Related ProvidersPractice Address2630 Sherwood St Apt 11, Las Vegas, NV 89109-1321(702) 406-8190PECOS EnrollmentBased on the most recent information from CMS, provider Risharddnae Shawneice Cooper does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225621790Provider TypeIndividualFull NameCooper, Risharddnae ShawneiceGenderFemaleSole ProprietorYesEnumeration Date2/16/2021Last Updated2/16/2021Contact InformationPractice LocationPractice Address2630 Sherwood St Apt 11, Las Vegas, NV 89109-1321Phone(702) 406-8190FaxUnlisted FaxMailing LocationMailing Address2630 Sherwood St Apt 11, Las Vegas, NV 89109-1321Phone(702) 406-8190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer