Individual
AUDREY FRANCES KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
2225809
MN
367A00000X
Advanced Practice Midwife
Primary
453
MN
Other
Enumeration date
01/16/2018
Last updated
12/27/2020
Update your record
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