Individual
ADRIEN JULIANA GUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
620 LEE ST, WINSLOW, AZ 86047-2435
(928) 289-2000
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9400
(928) 774-6687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18749
SC
363LF0000X
Family Nurse Practitioner
199261
NC
363LF0000X
Family Nurse Practitioner
71014767A
IN
363LF0000X
Family Nurse Practitioner
Primary
AP8896
AZ
367A00000X
Advanced Practice Midwife
1445
CA
367A00000X
Advanced Practice Midwife
71014767A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086388
—
AZ
Enumeration date
07/23/2013
Last updated
12/19/2023
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