Healthcare Provider Details
I. General information
NPI: 1063785475
Provider Name (Legal Business Name): BRITTNEY DANEE KOPAS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/15/2012
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 NOLTE DR
KITTANNING PA
16201-7111
US
IV. Provider business mailing address
1 NOLTE DR
KITTANNING PA
16201-7111
US
V. Phone/Fax
- Phone: 724-543-8500
- Fax:
- Phone: 724-543-8423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | RN574203 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | RN574203 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: