Individual
STEPHANIE COCHRAN WESELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1937 S BURNSIDE AVE, GONZALES, LA 70737-4632
(225) 765-5500
(225) 644-9286
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP07203
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07203
LA
363LP2300X
Primary Care Nurse Practitioner
RN117351 AP07203
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344331
—
LA
Enumeration date
02/21/2013
Last updated
09/22/2025
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