Individual
TRACY ELLEN KUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 300, AUSTIN, TX 78723-3078
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD STE 300, AUSTIN, TX 78723-3078
(512) 478-8116
(512) 478-9368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP112442
TX
363LP0200X
Pediatric Nurse Practitioner
605032
TX
Other
Enumeration date
03/01/2007
Last updated
05/13/2019
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