# NICOLE L. CUPP DPM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Podiatry of Bartlesville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831570910
- **Authorized official:** DR. NICOLE LYNN CUPP DPM (PHYSICIAN)
- **Authorized official phone:** (918) 331-6422

## Contact information

- **Practice address:** 226 SE DEBELL AVE, BARTLESVILLE, OK 74006-2343
- **Practice address phone:** (918) 876-0476
- **Practice address fax:** (918) 876-0479
- **Mailing address:** 226 SE DEBELL AVE, BARTLESVILLE, OK 74006-2343
- **Mailing address phone:** (918) 876-0476
- **Mailing address fax:** (918) 876-0479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 301 | OK | Yes |

## Other

- **Enumeration date:** 06/14/2015
- **Last updated:** 06/14/2015