Provider Demographics
NPI:1023306958
Name:COPENING-WATSON, EDITH (MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:
Last Name:COPENING-WATSON
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GRANT LN
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-9648
Mailing Address - Country:US
Mailing Address - Phone:302-659-2936
Mailing Address - Fax:
Practice Address - Street 1:6 GRANT LN
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-9648
Practice Address - Country:US
Practice Address - Phone:302-659-2936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0024926163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health