Copeland, Vanessa Latimer
Copeland, Vanessa Latimer is an sole proprietor health care provider with primary practice located at 434 Woodbark Ct , Mauldin SC 29662-3269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Copeland, Vanessa Latimer can be contacted via phone (864) 365-5660.Contact Information
Primary practice address
434 Woodbark Ct
Mauldin SC 29662-3269
Phone: (864) 365-5660
Fax: (864) 365-5660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 222331 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21615 | South Carolina |
Profile Details
| NPI number | 1548761000 |
|---|---|
| LBN Legal business name | Copeland, Vanessa Latimer |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Feb 28th, 2019 - about 7 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 | 1548761000 | NPPES |
| South Carolina | MEDICAID | NP5200 | |
| South Carolina | Other | SCC4375019 |
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