Provider Demographics
NPI:1841812955
Name:COPPLE, DANA SUE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:SUE
Last Name:COPPLE
Suffix:
Gender:F
Credentials: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 1:4 PUESTA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-9011
Mailing Address - Country:US
Mailing Address - Phone:620-960-4006
Mailing Address - Fax:
Practice Address - Street 1:4 PUESTA DEL SOL
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-9011
Practice Address - Country:US
Practice Address - Phone:620-960-4006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSF01201762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily