Provider Demographics
NPI:1851266142
Name:COPANS, SAMUEL (RN)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:COPANS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 RUTLAND SQ APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3159
Mailing Address - Country:US
Mailing Address - Phone:978-518-0477
Mailing Address - Fax:
Practice Address - Street 1:47 RUTLAND SQ APT 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3159
Practice Address - Country:US
Practice Address - Phone:978-518-0477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2354235163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine