Individual
CRYSTAL COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN.352147
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0027886
OH
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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