Individual
MRS. ANNETTE KAY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000747A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526990
—
IN
Enumeration date
05/11/2006
Last updated
03/24/2021
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