Provider Demographics
NPI:1568894954
Name:KOPROWSKI, ILANA RACHELE
Entity Type:Individual
Prefix:MRS
First Name:ILANA
Middle Name:RACHELE
Last Name:KOPROWSKI
Suffix:
Gender:F
Credentials:
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 150195
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33915-0195
Mailing Address - Country:US
Mailing Address - Phone:239-440-8128
Mailing Address - Fax:866-472-0683
Practice Address - Street 1:409 NW 16TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-7627
Practice Address - Country:US
Practice Address - Phone:239-440-8128
Practice Address - Fax:866-472-0683
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula