Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA COOPER, MSRDLDN
Active Sole ProprietorGerontological Nutrition · LAKELAND, TN
Registration Details
- NPI Number
- 1942095849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2025 (1.0304915858631 yrs)
- Last Updated
- Apr 11, 2025
- License
-
LDN1467 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9133 FLETCHER TRACE PKWYLAKELAND, TN, 380024115Browse TN providers · Browse ZIP 38002
- Phone
- 9014859385
- Primary Specialty
-
Gerontological Nutrition
133VN1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.