Individual
MRS. DEBRA ANN KRUPNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3181 CLEARWATER DRIVE, SUITE B, PRESCOTT, AZ 86305-7101
(928) 515-1755
(928) 515-2455
Mailing address
3181 CLEARWATER DRIVE, SUITE B, PRESCOTT, AZ 86305-7101
(928) 515-1755
(928) 515-2455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO522
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043346203 0078
CIGNA
VT
01
—
043346203012
TRICARE
VT
05
—
0NP1198
—
VT
01
—
854125
MVP
VT
01
—
KRUP05338662
BC BS OF VERMONT
VT
Enumeration date
05/10/2006
Last updated
03/07/2023
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