Individual
MRS. CANDICE LEIGH COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 727-2640
(573) 727-2408
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2010038004
MO
363LF0000X
Family Nurse Practitioner
Primary
2010038004
MO
Other
Enumeration date
11/23/2010
Last updated
06/18/2019
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