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Individual

TALIA MARIE COPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
70 KENYON AVE UNIT 324, WAKEFIELD, RI 02879-4253
(401) 788-8780
(401) 788-8787
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-8780

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02695
RI
363LF0000X
Family Nurse Practitioner
APRN02695
RI

Other

Enumeration date
05/10/2021
Last updated
06/22/2021
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