Individual
MRS. NICOLE COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 281-5392
Mailing address
429 2ND ST, BLAKELY, PA 18447-1217
(570) 709-0132
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001145
PA
163W00000X
Registered Nurse
RN812183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820667
BCNEPA
PA
Enumeration date
02/15/2007
Last updated
03/30/2026
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