Individual
DR. STEPHANIE CLAIRE COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP/PH.D.
Contact information
Practice address
225 N. BEAUREGARD, SAN ANGELO, TX 76903
(325) 747-3168
(325) 747-2047
Mailing address
5318 RIVIERA LANE, SAN ANGELO, TX 76904
(937) 830-0686
(325) 747-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
NP08195, RN304751
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
AP125780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585420
ANTHEM BCBS OHIO
OH
05
—
2643661
—
OH
01
—
421534506123
CARESOURCE
OH
05
—
6V6415
—
TX
Enumeration date
09/30/2006
Last updated
01/23/2025
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