Individual
DENISE A COPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5980
(401) 444-6218
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
16931
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC51951
—
RI
Enumeration date
06/13/2006
Last updated
02/14/2008
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