Individual
ALISA D CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
9509 N BEACH ST STE 102, FORT WORTH, TX 76244-6399
(817) 396-7271
Mailing address
7012 GREENSPOINT DR, ARLINGTON, TX 76001-6780
(806) 220-6141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1056561
TX
Other
Enumeration date
03/11/2022
Last updated
01/12/2023
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