Organization
BREANNA COPELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA COPELAND (RN)
(206) 992-5564
Entity
Organization
Contact information
Practice address
11421 31ST DR SE, EVERETT, WA 98208-5273
(425) 379-2975
Mailing address
3901 2ND AVE NE APT 202, SEATTLE, WA 98105-6842
(206) 992-5564
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
163WH0200X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WH00000X
PRIVATE LICENSED NURSE TASONOMY CODE
WA
Enumeration date
04/23/2013
Last updated
04/23/2013
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