Healthcare Provider Details

I. General information

NPI: 1427456300
Provider Name (Legal Business Name): PAUL HERBERT KUPPINGER MSN,FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 08/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 E. BANNER GATEWAY DR.
GILBERT AZ
85234
US

IV. Provider business mailing address

2946 E. BANNER GATEWAY DR.
GILBERT AZ
85234
US

V. Phone/Fax

Practice location:
  • Phone: 480-254-6444
  • Fax: 480-256-3682
Mailing address:
  • Phone: 480-254-6444
  • Fax: 480-256-3682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7498
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: