Individual
GARRI RAGEN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
208 LANDINGS BLVD, WESTON, FL 33327-1107
(954) 610-3402
Mailing address
208 LANDINGS BLVD, WESTON, FL 33327-1107
(954) 610-3402
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035817
FL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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