Mrs Nicole Coppola, MS,RD,LDN is a
Dietitian, Registered based in Wilkes Barre, Pennsylvania. Mrs Nicole Coppola is licensed to practice in Pennsylvania (license number DN001145) and her current practice location is
1111 E End Blvd, Wilkes Barre, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 824-3521.
NPI number for Mrs Nicole Coppola is 1982747077 and her current mailing address is 429 2nd St, Blakely, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982747077.
Provider's Profile
| Full Name | Mrs Nicole Coppola |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1111 E End Blvd, Wilkes Barre, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982747077
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 03/30/2026
Medical Identifiers
Medical identifiers for Mrs Nicole Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982747077 | NPI | - | NPPES |
| 820667 | Other | PA | BCNEPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN812183 (Pennsylvania) | Secondary |
| 133V00000X | Dietitian, Registered | DN001145 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Coppola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Nicole Coppola, MS,RD,LDN 429 2nd St, Blakely, PA 18447-1217 Ph: (570) 709-0132 | Mrs Nicole Coppola, MS,RD,LDN 1111 E End Blvd, Wilkes Barre, PA 18711-0030 Ph: (570) 824-3521 |
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