Lynda Rae Kopishke, RN
Case Manager/Care Coordinator in North East, MD. Individual provider (NPI-1).
NPI number1861672016
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1861672016
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lynda Rae Kopishke
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2007
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | L10009924 | DE | Yes |
| 163WC0400X | Registered Nurse, Case Management | R057715 | MD | |
| 163WH0200X | Registered Nurse, Home Health | R057715 | MD | |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | R057715 | MD | |
| 163WR0400X | Registered Nurse, Rehabilitation | R057715 | MD |
Practice location
109 North East Isles DriveSuite 100
North East, MD 21901
Phone 302-528-8484
Mailing address
109 North East Isles DriveSuite 100
North East, MD 21901
Phone 302-528-8484
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