Individual
PATRICIA LYNN KOPRIVICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5919 AMBER, JACKSON, MI 49201-8389
(517) 783-5494
(517) 783-5494
Mailing address
5919 AMBER, JACKSON, MI 49201-8389
(517) 783-5494
(517) 783-5494
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704170848
MI
Other
Enumeration date
03/27/2007
Last updated
03/30/2021
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