Active NPIIndividual providerSole proprietor

Amanda R Coppola, APRN

Nurse Practitioner, Family in Bridgeport, Connecticut

NPI Number1609056944
Practice location
4699 Main St, Bridgeport, CT 06606-1830
Fax
—
Last updated
July 27, 2008

Amanda R Coppola is a Nurse Practitioner, Family based in Bridgeport, CT. Amanda R Coppola practices in Bridgeport, CT and has the professional credentials of APRN. The NPI Number for Amanda R Coppola is 1609056944 and holds a License No. 003696 (CT). The current practice location address for Amanda R Coppola is 4699 Main St, Bridgeport, CT 06606-1830 and can be reached out via phone at 203-452-8322.

Provider Profile Details

NPI Number
1609056944
Provider Name
Amanda R Coppola
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
4699 Main St, Bridgeport, CT 06606-1830
Phone Number
203-452-8322
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 4, 2007
Last Update Date
July 27, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
4699 Main St
Bridgeport, CT 06606-1830
Zip
06606-1830
Phone Number
203-452-8322
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
25 Shelter Rock RD
Trumbull, CT 06611-3324
City
Trumbull
State
CT
Zip
06611-3324

License Information

License Number
003696
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda R Coppola, APRN?

The NPI number of Amanda R Coppola, APRN is 1609056944. It was assigned on November 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Amanda R Coppola, APRN?

Amanda R Coppola, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 003696.

Where does Amanda R Coppola, APRN practice?

The practice location is 4699 Main St, Bridgeport, CT 06606-1830. The office can be reached at 203-452-8322 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609056944 directly on the NPPES registry website.

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