Individual
MRS. DOROTHEA JANE KUPSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 COURTHOUSE SQUARE, HEALTHY FAMILY PARTNERSHIP, TUNKHANNOCK, PA 18657-1233
(570) 996-2238
(570) 836-1686
Mailing address
1 COURTHOUSE SQUARE, TUNKHANNOCK, PA 18657-1233
(570) 996-2238
(570) 836-1686
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN241154L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016392660001
—
PA
Enumeration date
04/09/2007
Last updated
07/08/2007
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