Individual
PAULINE KUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5332 E BASELINE RD APT 2031, MESA, AZ 85206-4729
(707) 337-7985
Mailing address
5332 E BASELINE RD APT 2031, MESA, AZ 85206-4729
(707) 337-7985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9919
AZ
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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