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Individual

MS. ELLYN BAKER KOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-PC

Contact information

Practice address
7859 WALNUT HILL LN, DALLAS, TX 75230-5605
(214) 369-7661
Mailing address
5932 MARQUITA AVE, DALLAS, TX 75206-6116
(214) 289-0178

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP145813
TX

Other

Enumeration date
05/26/2020
Last updated
06/02/2023
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