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Individual
MRS. TAWANA COOPER
Active
Individual
MRS. TAWANA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2858322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30636400
—
FL
01
—
ARNP2858322
STATE OF FLORIDA DOH LICENSE
FL
01
—
Y03TT
BCBSFL
FL
Enumeration date
06/01/2005
Last updated
07/21/2022
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