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Individual
SUSAN MARIE KUPPER
Active
Individual
SUSAN MARIE KUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
666067
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316071502
—
TX
01
—
8330UG
BCBS
TX
01
—
P01445717
RAILROAD
TX
Enumeration date
11/09/2012
Last updated
07/13/2022
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