Individual
MS. BETTY JANE KUPP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
PERRY POINT VA MEDICAL CENTER, AVE. D., PERRY POINT, MD 21902
(410) 642-2411
Mailing address
13 FIR DR, BALTIMORE, MD 21220-5434
(410) 642-2411
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RO69072
MD
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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