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Individual

TORRY D ZUPKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3505 WESTERN AVE, KINGMAN, AZ 86409-0927
(928) 757-8111
(928) 757-3256
Mailing address
3707 N STOCKTON HILL RD STE B, KINGMAN, AZ 86409-0507
(928) 757-8111
(928) 757-3256

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5134-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4991
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP8953
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
813397
AZ
Enumeration date
12/04/2012
Last updated
08/08/2024
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