Schupp, Nancy Lee

Schupp, Nancy Lee is an individual health care provider with primary practice located at 1640 Cowles St Suite 1, Fairbanks AK 99701-5925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Schupp, Nancy Lee can be contacted via phone (907) 452-4768.

Contact Information

Primary practice address
1640 Cowles St Suite 1 Fairbanks AK 99701-5925
Phone: (907) 452-4768
Fax: (907) 452-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7 Alaska

Profile Details

NPI number 1669587036
LBN Legal business name Schupp, Nancy Lee
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Feb 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669587036 NPPES
Alaska MEDICAID NP7619

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