Provider Demographics
NPI:1073869764
Name:KOPFLER, ANDREA (CFM)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:KOPFLER
Suffix:
Gender:F
Credentials:CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 PALACE DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-3271
Mailing Address - Country:US
Mailing Address - Phone:985-662-5065
Mailing Address - Fax:
Practice Address - Street 1:470 PALACE DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-3271
Practice Address - Country:US
Practice Address - Phone:985-662-5065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6727750001Medicare NSC