Individual
COURTNEY R COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 MEMBERS WAY FL 5, DOVER, NH 03820-5933
(603) 609-6800
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2308854
MA
363LA2200X
Adult Health Nurse Practitioner
077561-23
NH
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2308854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119479
—
NH
Enumeration date
06/04/2019
Last updated
11/26/2024
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