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NPI Code Detail

MEDICARE: MRS. MARIANNE HELEN COPPENS FNP

MEDICARE: MRS. MARIANNE HELEN COPPENS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SF0001XFamily Health Clinical Nurse Specialist4704256304MI
2363LF0000XFamily Nurse Practitioner4704256304MI

General Provider Information

NPI Number : 1932368339
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIANNE HELEN COPPENS FNP
Provider Business Mailing Address
First Line : 733 HAWKSBRIDGE CIR
Second Line :
City : TEMPERANCE
State : MI
Zip : 48182-9137
Country : US
Telephone Number : 419-356-1688
Fax Number :
Provider Business Practice Location Address
First Line : 733 HAWKSBRIDGE CIRCLE
Second Line :
City : TEMPERANCE
State : MI
Zip : 48182-9223
Country : US
Telephone Number : 419-356-1688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 05/09/2016

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