Individual
MELISSA COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, LMSW
Contact information
Practice address
1209 N 3RD ST, MARQUETTE, MI 49855-3009
(906) 273-0964
(906) 273-2005
Mailing address
1209 N 3RD ST, MARQUETTE, MI 49855-3009
(906) 273-0964
(906) 273-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085254
MI
163W00000X
Registered Nurse
4704212488
MI
363LF0000X
Family Nurse Practitioner
4704212488
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704212488
MI
Other
Enumeration date
06/22/2013
Last updated
12/07/2023
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