Individual
ALICIA C COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1856 E FLORENCE BLVD STE 1, CASA GRANDE, AZ 85122-5303
(520) 381-0380
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0024171237
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
266234
AZ
Other
Enumeration date
06/13/2014
Last updated
12/06/2022
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