Provider Demographics
NPI:1134366982
Name:KOPIASZ, JUNE KAY (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:KAY
Last Name:KOPIASZ
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 QUINCE RD
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:IA
Mailing Address - Zip Code:51537-5610
Mailing Address - Country:US
Mailing Address - Phone:712-579-7004
Mailing Address - Fax:
Practice Address - Street 1:150 BOATS LN
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-7302
Practice Address - Country:US
Practice Address - Phone:910-568-0040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA145221163W00000X
IAP42342164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No163W00000XNursing Service ProvidersRegistered Nurse