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Individual

ALIVIA M TEKOPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4601 HIGHWAY 62 E BLDG 120, MOUNT VERNON, IN 47620-9682
(812) 307-2336
Mailing address
801 FELSTEAD RD, EVANSVILLE, IN 47712-3637
(812) 490-3880

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004616A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004616A
IN

Other

Enumeration date
09/10/2013
Last updated
08/05/2026
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