Individual
DR. SARA CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-4090
Mailing address
1860 KORTE ST, HARTLAND, MI 48353-3310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704308030
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704308030
MI
Other
Enumeration date
07/11/2021
Last updated
09/28/2023
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