Individual
MARY LOU KOPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
530 WASHINGTON HWY, MORRISVILLE, VT 05661-8715
(802) 888-8100
(802) 888-8279
Mailing address
530 WASHINGTON HWY, MORRISVILLE, VT 05661-8715
(802) 888-8100
(802) 888-8279
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP 60233055
WA
367A00000X
Advanced Practice Midwife
Primary
1010134597
VT
367A00000X
Advanced Practice Midwife
AP60233055
WA
Other
Enumeration date
09/02/2011
Last updated
09/30/2024
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