Most Relevant Information
Provider Data
| NPI Number: | 1003353434 |
| Provider Name: | ANNA COPPOL |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3010781 |
Most Important Dates
| Enumeration Date: | 01/24/2017 |
| Last Updated: | 01/24/2017 |
Provider Practice Location
600 S PRESTON ST
LOUISVILLE
KY
402021716
Practice Location Phone/Fax
| Phone: | 5025833951 |
| Fax: |
Provider Mailing Location
101 W MUHAMMAD ALI BLVD
LOUISVILLE
KY
402021423
Provider Mailing Phone/Fax
| Phone: | 5025898600 |
| Fax: |