Individual
ALICIA MARIE COPPEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(563) 742-5000
Mailing address
1202 N STARK ST, DAVENPORT, IA 52804-4224
(907) 371-0993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172924
IA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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