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Individual

DONALD COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGNP-C

Contact information

Practice address
5916 E MCKELLIPS RD, MESA, AZ 85215-2755
(480) 930-4477
(415) 252-7176
Mailing address
5916 E MCKELLIPS RD, MESA, AZ 85215-2755
(480) 930-4477
(415) 252-7176

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8204
AZ
363LG0600X
Gerontology Nurse Practitioner
AP8204
AZ

Other

Enumeration date
12/09/2015
Last updated
04/17/2025
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