National Provider Identifier
Tanya M Kopp
Tanya M Kopp is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (716) 251-8568.
Profile Overview
- NPI
- 1417423336
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 18, 2018
- Last Updated
- October 18, 2018
Practice Location
- 10546 Maple Ridge RD
- Medina, NY 14103-9512
Phone: (716) 251-8568
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1417423336
- Entity Type
- Individual
- Last Name
- Kopp
- First Name
- Tanya
- Middle Name
- M
- Mailing Street Address
- 10546 Maple Ridge RD
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-9512
- Mailing Country
- US
- Mailing Phone
- (716) 251-8568
- Practice Street Address
- 10546 Maple Ridge RD
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-9512
- Practice Country
- US
- Practice Phone
- (716) 251-8568
- Enumeration Date
- October 18, 2018
- Last Updated
- October 18, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)