Provider Demographics
NPI:1255655445
Name:KOPEC, APRIL COLLEEN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:COLLEEN
Last Name:KOPEC
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64442
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4442
Mailing Address - Country:US
Mailing Address - Phone:410-328-2250
Mailing Address - Fax:410-328-8225
Practice Address - Street 1:419 W REDWOOD ST
Practice Address - Street 2:SUITE 520
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1734
Practice Address - Country:US
Practice Address - Phone:410-328-2250
Practice Address - Fax:410-328-8225
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR163665363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419558200Medicaid
MDP00889758Medicare PIN
MD179065Y3WMedicare PIN