Individual
CINDY MARIE SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
201 RIDGE ST STE 206, COUNCIL BLUFFS, IA 51503-4643
(712) 397-7460
(712) 396-7465
Mailing address
201 RIDGE ST STE 206, COUNCIL BLUFFS, IA 51503-4643
(712) 242-7082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A111729
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
11250
NE
363LP2300X
Primary Care Nurse Practitioner
A111729
IA
Other
Enumeration date
01/15/2018
Last updated
10/05/2021
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