AMANDA R COPPOLA APRN (Credential# 576732) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
AMANDA R COPPOLA APRN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.072728. The credential type is registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 54 Warncke Rd, Wilton, CT 06897-2010. The current status is active.
| Licensee Name | AMANDA R COPPOLA APRN |
| Credential ID | 576732 |
| Credential Number | 10.072728 |
| Credential Type | Registered Nurse |
| Business Address |
54 Warncke Rd Wilton CT 06897-2010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-01-26 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 681874 | 12.003696 | Advanced Practice Registered Nurse | 2007-10-18 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 486909 | CSP.0042807 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-31 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 54 WARNCKE RD |
| City | WILTON |
| State | CT |
| Zip Code | 06897-2010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda B Coppola | 147 Laurel Street, South Windsor, CT 06074 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Amanda K Shore Aprn | 2801 N Rock Rd #1502, Wichita, KS 67226 | Advanced Practice Registered Nurse | 2006-06-20 ~ 2007-08-31 |
| Amanda E Coppola | 179 Maple Hill Rd, Naugatuck, CT 06770-2217 | Hairdresser/cosmetician | 2019-07-24 ~ 2020-10-31 |
| Susan White Aprn | 17 Coppola Terrace, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Joseph S Coppola Jr · Coppola Enterprises | 27 King St, Danbury, CT 06811 | Home Improvement Contractor | 2013-12-11 ~ 2014-11-30 |
| Amanda Carlota Pate | 180 Amanda Dr, Manchester, CT 06040-6852 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Coppola Properties Inc | 927 Westover Road, Stamford, CT 06907 | New Home Construction Contractor | 1999-10-14 ~ 2001-09-30 |
| Emilio Coppola · Coppola & Sons Constr Co Inc | 74 Old Mill Ln, Stamford, CT 06902 | Home Improvement Contractor | ~ 1996-08-01 |
| Bryan L Coppola · Bryan Coppola Construction | 12 Misty Vale Rd, Sandy Hook, CT 06482-1403 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| Nicholas J Coppola · Coppola Wine Enterprises | 3013 Ridge Rd, North Haven, CT 06473-1022 | Manufacturer Liquor | 2018-12-17 ~ 2019-12-16 |
Please comment or provide details below to improve the information on AMANDA R COPPOLA APRN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).