Individual
NANCY LEE SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1640 COWLES ST, SUITE 1, FAIRBANKS, AK 99701-5925
(907) 452-4768
(907) 452-1009
Mailing address
1867 AIRPORT WAY, STE 140A, FAIRBANKS, AK 99701-4055
(907) 457-9355
(907) 457-9356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7619
—
AK
Enumeration date
08/19/2006
Last updated
02/26/2020
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