Provider Demographics
NPI:1861268518
Name:COPPER, DARNELLA M (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:DARNELLA
Middle Name:M
Last Name:COPPER
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:709 N 2ND ST STE 400
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-3108
Mailing Address - Country:US
Mailing Address - Phone:484-309-5457
Mailing Address - Fax:484-328-6562
Practice Address - Street 1:709 N 2ND ST STE 400
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-3108
Practice Address - Country:US
Practice Address - Phone:484-309-5457
Practice Address - Fax:484-328-6562
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy