IndividualActive
Cheron Copeland, NDTR
NPI 1215720867 · Registered Dietetic Technician · South Milwaukee, WI
Provider details
- NPI number
- 1215720867
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Practice location
3344 Marina Rd Apt 204
South Milwaukee, WI 53172-3963
Phone: (931) 637-4628
Approximate (ZIP-level) locationGet directions
Mailing address
3344 Marina Rd Apt 204
South Milwaukee, WI 53172-3963
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.