Individual provider · Type 1 NPI
Latisha Copple
General Practice Registered Nurse · St. Louis, MO
NPI number
1245637487
Active
Practice location
1430 Olive St, Suite 100
St. Louis, MO 63103-2303
Mailing address
516 N August St, Apt 2A
Mascoutah, IL 62258-1536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 2013035086 (MO) |
General Practice Registered Nurse: Definition to come...
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About NPI 1245637487
Latisha Copple's National Provider Identifier is 1245637487, issued on Dec 3, 2014. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 3, 2014.