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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MACKENZIE COPENHAVER

Active Sole Proprietor

MACKENZIE COPENHAVER is a Community Health Worker healthcare provider located in RUPERT, West Virginia. NPI 1053905802 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · RUPERT, WV

Registration Details

NPI Number
1053905802
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2021 (5.4849284456122 yrs)
Last Updated
Feb 23, 2021
Sole Proprietor
Yes

Practice Information

Address
1032 ANJEAN RD
RUPERT, WV, 259848618
Browse WV providers · Browse ZIP 25984
Phone
3046610026
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in RUPERT, WV

Name Credential NPI
TIERSA HELVEY 1942885470
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.