Provider Demographics
NPI:1912419664
Name:COPPEE, HELOISE
Entity Type:Individual
Prefix:
First Name:HELOISE
Middle Name:
Last Name:COPPEE
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 1:396 TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3840
Mailing Address - Country:US
Mailing Address - Phone:415-688-1000
Mailing Address - Fax:
Practice Address - Street 1:396 TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3840
Practice Address - Country:US
Practice Address - Phone:415-688-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula