Provider Demographics
NPI:1255225413
Name:LOBATON COPPOLO, DANICA GZL (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:GZL
Last Name:LOBATON COPPOLO
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:MARIA DANICA GZL
Other - Middle Name:A
Other - Last Name:LOBATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59 LOOP RD
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:VT
Mailing Address - Zip Code:05345-9641
Mailing Address - Country:US
Mailing Address - Phone:928-358-9687
Mailing Address - Fax:
Practice Address - Street 1:21 BELMONT AVE BLDG 2ND
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-7110
Practice Address - Country:US
Practice Address - Phone:802-251-8455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0148253363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care