Individual
CATHERINE CAMILLE CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15614 N 98TH AVE, SUN CITY, AZ 85351-2019
(623) 487-3010
Mailing address
15614 N 98TH AVE, SUN CITY, AZ 85351-2019
(623) 487-3010
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
046234
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626012
—
AZ
Enumeration date
12/04/2006
Last updated
07/09/2007
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