Individual
FERNANDA D. COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
291 INDEPENDENCE DR, CHESTNUT HILL, MA 02467-3628
(617) 629-6444
Mailing address
147 MILK ST, PROVIDER ENROLLMENT DEPT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2536
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041656
NEIGHBORHOOD HEALTH PLAN
MA
01
—
9750052
AETNA
MA
01
—
AAAA96834
HARVARD PILGRIM
MA
01
—
LD0230
BLUE CROSS BLUE SHEILD
MA
Enumeration date
08/21/2007
Last updated
11/11/2008
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