Organization
SIRIUS HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN KRUPNICK MS, FNP (OWNER/PROVIDER)
(928) 515-1755
Entity
Organization
Contact information
Practice address
5327 CRESCENT EDGE DR, PRESCOTT, AZ 86301-0105
(928) 515-1755
(928) 277-1627
Mailing address
5327 CRESCENT EDGE DR, PRESCOTT, AZ 86301-0105
(928) 515-1755
(928) 277-1627
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043346203 0078
CIGNA
VT
01
—
043346203012
TRICARE
VT
01
—
KRUP05338662
BLUE CROSS BLUE SHIELD
VT
05
—
ONP1198
—
VT
Enumeration date
10/18/2013
Last updated
09/11/2025
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