Individual
MS. LUPE S. CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
Mailing address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007734
KY
363LF0000X
Family Nurse Practitioner
3007734
KY
363LF0000X
Family Nurse Practitioner
AP8845
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790321
—
AZ
Enumeration date
05/07/2008
Last updated
03/11/2019
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