Healthcare Provider Details

I. General information

NPI: 1356292395
Provider Name (Legal Business Name): MARAH KOPROWSKI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MAIN ST UNIT 143
GREAT BARRINGTON MA
01230-7007
US

IV. Provider business mailing address

25 MELVIN RD
CRARYVILLE NY
12521-5026
US

V. Phone/Fax

Practice location:
  • Phone: 619-985-2122
  • Fax:
Mailing address:
  • Phone: 619-985-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2349530
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: