Individual
MARLA JO COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
Mailing address
12522 ASTOR PL, FORT MYERS, FL 33913-2602
(239) 989-2214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11013903
FL
367500000X
Certified Registered Nurse Anesthetist
RN9309948
FL
Other
Enumeration date
06/09/2021
Last updated
03/19/2025
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