IndividualActive
Andrea Cooper, MSRDLDN
NPI 1942095849 · Gerontological Nutrition Registered Dietitian · Lakeland, TN
Provider details
- NPI number
- 1942095849
- Entity type
- Individual
- Primary specialty
- Gerontological Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MSRDLDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- LDN1467 (TN)
Practice location
9133 Fletcher Trace Pkwy
Lakeland, TN 38002-4115
Phone: (901) 485-9385
Mailing address
9133 Fletcher Trace Pkwy
Lakeland, TN 38002-4115
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.