Provider Demographics
NPI:1538428669
Name:COPE, AMY BETH (PA-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BETH
Last Name:COPE
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:BETH
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 SEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9206
Mailing Address - Country:US
Mailing Address - Phone:304-757-6805
Mailing Address - Fax:
Practice Address - Street 1:300 SEVILLE RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9206
Practice Address - Country:US
Practice Address - Phone:304-757-6805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV505363A00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant