Provider Demographics
NPI:1376090050
Name:COPLEY, REBEKA ANN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:REBEKA
Middle Name:ANN
Last Name:COPLEY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5187 US ROUTE 60
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-0027
Mailing Address - Country:US
Mailing Address - Phone:304-523-5555
Mailing Address - Fax:304-523-2220
Practice Address - Street 1:5187 US ROUTE 60
Practice Address - Street 2:SUITE 2
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-0027
Practice Address - Country:US
Practice Address - Phone:304-523-5555
Practice Address - Fax:304-523-2220
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN88688-NP-C363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily