Provider Demographics
NPI:1689018871
Name:COPLAND, DANA JAMES (RN)
Entity Type:Individual
Prefix:MR
First Name:DANA
Middle Name:JAMES
Last Name:COPLAND
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:301 COPPER ST APT 10
Mailing Address - Street 2:PO BOX 688
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-5500
Mailing Address - Country:US
Mailing Address - Phone:716-785-7200
Mailing Address - Fax:
Practice Address - Street 1:500 N US HIGHWAY 89
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86313-5001
Practice Address - Country:US
Practice Address - Phone:928-776-5424
Practice Address - Fax:928-775-7185
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349234163WA2000X
CA816320163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator