Provider Demographics
NPI:1881368009
Name:COPELAND, HEATHER N
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:COPELAND
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 1:11095 FALLING STAR RD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN
Mailing Address - State:CO
Mailing Address - Zip Code:80817-3321
Mailing Address - Country:US
Mailing Address - Phone:281-210-7571
Mailing Address - Fax:719-623-2799
Practice Address - Street 1:11095 FALLING STAR RD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817-3321
Practice Address - Country:US
Practice Address - Phone:281-210-7571
Practice Address - Fax:719-623-2799
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker