Copenhaver, Dianne Gladys

Copenhaver, Dianne Gladys is an individual health care provider with primary practice located at 8750 Sw Highway 200 Suite 103, Ocala FL 34481-7810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Copenhaver, Dianne Gladys can be contacted via phone (352) 861-5444.

Contact Information

Primary practice address
8750 Sw Highway 200 Suite 103 Ocala FL 34481-7810
Phone: (352) 861-5444
Fax: (352) 861-5447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3051262 Florida

Profile Details

NPI number 1427010552
LBN Legal business name Copenhaver, Dianne Gladys
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 31st, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427010552 NPPES
Florida Other Y9176 BCBS OF FL

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