Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.026172 | OH |
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.026172 | OH |
NPI | 1023657442 |
---|---|
Provider Name | Mrs. Darian Kopp |
First Address | Canal Winchester, OH 43110-8345 |
Second Address | Columbus, OH 43231-2860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2020 |
Last Update Date | 20/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
APRN.CNP.026172 | OHIO BOARD OF NURSING (01) | OH |
RN.398810 | OHIO BOARD OF NURSING (01) | OH |