Provider Demographics
NPI:1114443330
Name:COPELAND-RICHARDS, LINDA DENISE (FNP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:DENISE
Last Name:COPELAND-RICHARDS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:DENISE
Other - Last Name:COPELAND-MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:5385 POND BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2446
Mailing Address - Country:US
Mailing Address - Phone:313-623-8786
Mailing Address - Fax:734-764-2503
Practice Address - Street 1:5385 POND BLUFF DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2446
Practice Address - Country:US
Practice Address - Phone:313-623-8786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFO7170067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily