Individual
MS. LYNDA RAE KOPISHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 NORTH EAST ISLES DRIVE, SUITE 100, NORTH EAST, MD 21901
(302) 528-8484
Mailing address
109 NORTH EAST ISLES DRIVE, SUITE 100, NORTH EAST, MD 21901
(302) 528-8484
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
R057715
MD
163WH0200X
Home Health Registered Nurse
R057715
MD
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
R057715
MD
163WR0400X
Rehabilitation Registered Nurse
R057715
MD
171M00000X
Case Manager/Care Coordinator
Primary
L10009924
DE
Other
Enumeration date
11/05/2007
Last updated
12/10/2020
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