Individual
MARIANA LUPEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1437 W AUTO DR, TEMPE, AZ 85284-1016
(602) 362-2983
(855) 889-8024
Mailing address
1437 W AUTO DR, TEMPE, AZ 85284-1016
(602) 362-2983
(855) 889-8024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11565
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP11565
FAMILY NURSE PRACTITIONER
AZ
Enumeration date
09/25/2018
Last updated
09/25/2018
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