Individual
AMANDA R COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4699 MAIN ST, BRIDGEPORT, CT 06606-1830
(203) 452-8322
Mailing address
25 SHELTER ROCK RD, TRUMBULL, CT 06611-3324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003696
CT
Other
Enumeration date
11/04/2007
Last updated
07/27/2008
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