Provider Demographics
NPI:1528421765
Name:COPPOLA, SERENA SNOW (DNP, APRN, CRNA)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:SNOW
Last Name:COPPOLA
Suffix:
Gender:F
Credentials:DNP, APRN, CRNA
Other - Prefix:
Other - First Name:SERENA
Other - Middle Name:SNOW
Other - Last Name:LARIVIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, CRNA
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:ANESTHESIOLOGY
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-5922
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH114612-23367500000X
NH075395-23367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered