Individual
ALICIA COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
519 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-7750
Mailing address
519 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-7750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28236887A
IN
207Q00000X
Family Medicine Physician
Primary
71017735A
IN
Other
Enumeration date
01/16/2026
Last updated
02/19/2026
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