Individual
BARRY MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC, FNP-C
Contact information
Practice address
18158 W DESERT SAGE DR, GOODYEAR, AZ 85338-7846
(623) 760-7660
(567) 243-7800
Mailing address
PO BOX 7294, GOODYEAR, AZ 85338-0639
(623) 760-7660
(567) 243-7800
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5737
AZ
363LF0000X
Family Nurse Practitioner
AP5737
AZ
363LP2300X
Primary Care Nurse Practitioner
AP5737
AZ
Other
Enumeration date
07/24/2014
Last updated
08/22/2024
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