Individual
CHRISTINE A COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18 HAYNES ST, UPPER LEVEL, MANCHESTER, CT 06040-4111
(860) 649-7557
(860) 646-0844
Mailing address
18 HAYNES ST, UPPER LEVEL, MANCHESTER, CT 06040-4111
(860) 649-7557
(860) 646-0844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6772
CT
Other
Enumeration date
07/14/2015
Last updated
12/16/2016
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