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Individual

SANDRA L COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP, FNP-C

Contact information

Practice address
1520 S BRYANT AVE, EDMOND, OK 73013-6028
(405) 348-7982
Mailing address
15417 BRENTON HILLS AVE, EDMOND, OK 73013-1071
(405) 371-0981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
116777
NE
363LF0000X
Family Nurse Practitioner
1221043
TX
363LF0000X
Family Nurse Practitioner
Primary
83522
OK
363LF0000X
Family Nurse Practitioner
A191136
IA

Other

Enumeration date
01/03/2017
Last updated
05/13/2026
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