Individual
MRS. SEQUANA SHONTAY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7403
(407) 631-2158
Mailing address
13800 VETERANS WAY, ORLANDO, FL 32827-7403
(407) 631-2158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9293147
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9293147
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9293147
FL
Other
Enumeration date
06/24/2016
Last updated
04/01/2017
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