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Theresa E Coyner, NP

Nurse Practitioner in West Lafayette, IN. Individual provider (NPI-1).

NPI number1790711828
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790711828
Entity type
Individual (NPI-1)
Name
Theresa E Coyner
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner71001017AINYes

Practice location

124 Sagamore Pkwy W
West Lafayette, IN 47906-1569

Phone 765-463-6722 · Fax 765-463-0905

Mailing address

124 Sagamore Pkwy W
West Lafayette, IN 47906-1569

Phone 765-463-6722 · Fax 765-463-0905

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