Copeland, Michelle
Copeland, Michelle is an individual health care provider with primary practice located at 2120 Centerpointe West Dr , Prescott AZ 86301-8487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Copeland, Michelle can be contacted via phone (928) 778-4581.Contact Information
Primary practice address
2120 Centerpointe West Dr
Prescott AZ 86301-8487
Phone: (928) 778-4581
Fax: (928) 776-1872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN058384 | Arizona |
Profile Details
| NPI number | 1538252234 |
|---|---|
| LBN Legal business name | Copeland, Michelle |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | May 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538252234 | NPPES |
| Arizona | MEDICAID | 427642 |
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