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STACEY ANNETTE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-8203
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-8203

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9309324
FL
367A00000X
Advanced Practice Midwife
151924
MO
367A00000X
Advanced Practice Midwife
Primary
APRN11021272
FL
367A00000X
Advanced Practice Midwife
ARNP9309324
FL
367A00000X
Advanced Practice Midwife
B101921
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
421527584-18
JOHN DEERE
Enumeration date
03/23/2006
Last updated
05/02/2023
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