Individual
KRISTINA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-0079
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-0079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7149-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578019782
—
WI
Enumeration date
08/28/2016
Last updated
07/06/2022
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