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Individual

KATIE LOU SHOUPPE

Active
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Individual

KATIE LOU SHOUPPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,ARNP-FNP

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5015728
NC
363L00000X
Nurse Practitioner
ARNP9350266
FL
363LF0000X
Family Nurse Practitioner
5015728
NC
363LF0000X
Family Nurse Practitioner
Primary
APRN9350266
FL

Other

Enumeration date
06/22/2017
Last updated
08/13/2024
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