# BREANNA COPELAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427492255
- **Authorized official:** BREANNA COPELAND (RN)
- **Authorized official phone:** (206) 992-5564

## Contact information

- **Practice address:** 11421 31ST DR SE, EVERETT, WA 98208-5273
- **Practice address phone:** (425) 379-2975
- **Mailing address:** 3901 2ND AVE NE APT 202, SEATTLE, WA 98105-6842
- **Mailing address phone:** (206) 992-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 163WH0200X | WA | Yes |

## Other

- **Enumeration date:** 04/23/2013
- **Last updated:** 04/23/2013
