Individual
MS. STEPHANIE REHER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13700 PRIDE PORT HUDSON RD, PRIDE, LA 70770-9200
(225) 654-7325
(225) 570-2043
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 654-7325
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
224313
LA
363LS0200X
School Nurse Practitioner
Primary
224313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224313
STATE LICENSE
LA
Enumeration date
03/10/2022
Last updated
01/10/2025
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