Coppa, Denise A

Coppa, Denise A is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Coppa, Denise A can be contacted via phone (401) 444-5980.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Fax: (401) 444-6218
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 16931 Rhode Island

Profile Details

NPI number 1487697173
LBN Legal business name Coppa, Denise A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487697173 NPPES
Rhode Island MEDICAID DC51951

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