Individual
MARYELLEN KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
701 N CLAYTON ST, MEDICAL OFFICE BLDG 401, WILMINGTON, DE 19805-3165
(302) 421-4800
(302) 421-4189
Mailing address
701 N CLAYTON ST, MEDICAL OFFICE BLDG 401, WILMINGTON, DE 19805-3165
(302) 421-4800
(302) 421-4189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LB0000150
DE
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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