Individual
COLLETTE E KOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN
Contact information
Practice address
851 COMMERCE BLVD STE 107, DICKSON CITY, PA 18519-1762
(570) 489-5561
(570) 489-5563
Mailing address
720 LAUREL ST, MAYFIELD, PA 18433-2119
(570) 947-8335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN522740L
PA
Other
Enumeration date
07/15/2019
Last updated
11/27/2023
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