Individual
ELIZABETH KAY SUPRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 N MCCLINTOCK DR STE 4, CHANDLER, AZ 85226-3711
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(855) 501-1004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6825
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z208462
—
AZ
Enumeration date
09/28/2017
Last updated
05/05/2026
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