Eilzabeth Convery Coppola in Longview - Dietitian, Registered

Eilzabeth Convery Coppola - NPI 1578557195

Eilzabeth Convery Coppola is a Dietitian, Registered in Longview, Washington. Eilzabeth Convery Coppola practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Eilzabeth Convery Coppola is 1578557195. The last update date is 2009-09-24.

Eilzabeth Convery Coppola's current location address is 600 Broadway St, Longview, Washington. You can contact this provider via phone number 3606364943 and fax number 3604147674. The mailing address for Eilzabeth Convery Coppola is 600 Broadway St, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Eilzabeth Convery Coppola
Address 600 Broadway St, Longview, Washington
Phone Number 3606364943
Fax Number 3604147674
Sole Proprietor N
Credentials BS, MS

NPI Number Detail

NPI Number 1578557195
Provider Enumeration Date 2005-09-09
Last Updated Date 2009-09-24

Provider Mailing Address Detail

Address 600 Broadway St
City Longview
State Washington (WA)
Post Code 986323256
Phone Number 3606364943
Fax Number 3604147674

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DI00001498
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100431 OR --
8331332 WA --

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FAQs about Eilzabeth Convery Coppola

What is the unique 10-digit identification code issued to Eilzabeth Convery Coppola by the Centers for Medicare & Medicaid Services?

The Eilzabeth Convery Coppola has been assigned the NPI (National Provider Identifier) 1578557195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Eilzabeth Convery Coppola?

The Eilzabeth Convery Coppola is physically situated at 600 Broadway St, in the city of Longview, state of WA, with the postal code 986323256.

What is Eilzabeth Convery Coppola's area of expertise and its corresponding taxonomy classification?

The Eilzabeth Convery Coppola's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Eilzabeth Convery Coppola receive its 1578557195 assignment from the Centers for Medicare & Medicaid Services?

The Eilzabeth Convery Coppola was assigned its 1578557195 on 2005-09-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Eilzabeth Convery Coppola, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Eilzabeth Convery Coppola, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-24.

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