Individual provider · NPI-1

Leah Coplon, CNM

Nurse Practitioner, Obstetrics & Gynecology · Portland, ME

NPI number1407889157
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407889157
Entity type
Individual (NPI-1)
Name
Leah Coplon
Credential
CNM
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & GynecologyR043336MEYes

Practice location

527 Ocean Ave
Portland, ME 04101

Phone 207-871-0666 · Fax 207-347-7151

Mailing address

527 Ocean Ave
Portland, ME 04101

Phone 207-871-0666 · Fax 207-347-7151

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