Individual
MRS. ERIN COPENHAVER
Active
Individual
MRS. ERIN COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1435
SC
363AM0700X
Medical Physician Assistant
Primary
1435
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8669
8669
SC
Enumeration date
02/29/2012
Last updated
06/11/2019
Update your record
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