Karen Benton Copelin
Individual provider Active NPI Medical-Surgical Registered Nurse · Micanopy, FL
NPI 1598201147 · NPPES record last updated Jan 6, 2017
Key facts
- NPI
- 1598201147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- RN9310155 (FL)
- Practice address
- 21680 NW 44TH Ave
Micanopy, FL 32667-7908 - Phone
- (352) 514-7880
- NPI assigned
- Jan 6, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9310155 | FL | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN9310155 | FL | Yes |
Addresses
Primary practice location
21680 NW 44TH Ave
Micanopy, FL 32667-7908
Mailing address
21680 NW 44TH Ave
Micanopy, FL 32667-7908
Phone (352) 514-7880
Other providers in Micanopy, FL
- Sarah Abruscato
- Crystal Bowman
- Valerie Broas
- Florida Good Health PLLC
- Sherry T. Gliesche
- Paula Goldberg
All providers in Micanopy, FL · Medical-Surgical Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.