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NPI Code Detail

MEDICARE: COLLEEN CHUPPE

MEDICARE: COLLEEN CHUPPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner11045561FL

General Provider Information

NPI Number : 1033048475
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN CHUPPE
Provider Business Mailing Address
First Line : 6207 S WEST SHORE BLVD APT 6071
Second Line :
City : TAMPA
State : FL
Zip : 33616-1674
Country : US
Telephone Number : 704-221-6675
Fax Number :
Provider Business Practice Location Address
First Line : 13021 W LINEBAUGH AVE STE 103
Second Line :
City : TAMPA
State : FL
Zip : 33626-4509
Country : US
Telephone Number : 813-863-9936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ COLLEEN CHUPPE ” Practice Location

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