Individual
MRS. MICHELLE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2120 CENTERPOINTE WEST DR, PRESCOTT, AZ 86301-8487
(928) 778-4581
(928) 776-1872
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN058384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427642
—
AZ
Enumeration date
10/02/2006
Last updated
02/04/2025
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