| Doctor Name: | MICHELLE COPLEY |
| NPI Number: | 1043695380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, CNP |
| License Number: | CNP3940 |
| Business Practice Address: | 855 Mankato Ave Winona, MN - 559874868 |
| Business Phone Number: | 5074543650 |
| Business Fax Number: | |
| Mailing Address: | 855 Mankato Ave, WINONA |
| State: | MN |
| Postal Code: | 559874868 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | CNP3940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |