Healthcare Provider Details

I. General information

NPI: 1205295060
Provider Name (Legal Business Name): KRUPA PATEL DNP, FNP-C, AG-ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3099 N CIVIC CENTER PLZ
SCOTTSDALE AZ
85251-6903
US

IV. Provider business mailing address

2500 W UTOPIA RD STE 100
PHOENIX AZ
85027-4172
US

V. Phone/Fax

Practice location:
  • Phone: 480-945-3535
  • Fax: 480-994-8179
Mailing address:
  • Phone: 623-683-4462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP8477
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8477
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: