Basic Information
Provider Information
NPI: 1831280239
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COPE
FirstName: DENISE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 143 ASHELAND AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014013
CountryCode: US
TelephoneNumber: 8282589191
FaxNumber: 8282320031
Practice Location
Address1: 143 ASHELAND AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014013
CountryCode: US
TelephoneNumber: 8282589191
FaxNumber: 8282320031
Other Information
ProviderEnumerationDate: 09/28/2006
LastUpdateDate: 08/28/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP1700X5005587NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal

ID Information
IDTypeStateIssuerDescription
3677701IAWELLMARKOTHER


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