Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Joseph Ryan Coppedge, PN1

Individual provider Nutrition Education Nutritionist · NPI 1780217257

Mr. Joseph Ryan Coppedge, PN1 is a Nutrition Education Nutritionist in Fullerton, California. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

213 Lido Pl
Fullerton, CA 92835-2517
Phone: (910) 818-4507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X (NY)
Nutrition Education Nutritionist Taxonomy 133NN1002X (NY)

Record details

NPI number1780217257
Entity typeIndividual (Type 1)
GenderMale
Credentials PN1
Sole proprietorYes
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

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