Sonya Michelle Copeland, LPN

Individual provider Active NPI Licensed Practical Nurse · Fountain, CO

NPI 1275857724 · NPPES record last updated Mar 25, 2010

Key facts

NPI
1275857724
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
37947 (CO)
Practice address
750 Progress Dr
Fountain, CO 80817-4177
Phone
(719) 310-1978
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37947COMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 37947 CO Yes

Addresses

Primary practice location

750 Progress Dr
Fountain, CO 80817-4177

Mailing address

750 Progress Dr
Fountain, CO 80817-4177
Phone (719) 310-1978

Other providers in Fountain, CO

All providers in Fountain, CO · Licensed Practical Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.