Individual
JOAN COOPER-RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE N809, MARRERO, LA 70072-3173
(504) 289-4420
Mailing address
119 HARDWOOD DR, BELLE CHASSE, LA 70037-1727
(504) 289-4420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
228034
LA
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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