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NPI Code Detail

MEDICARE: BARBARA DUPAUL FNP

MEDICARE: BARBARA DUPAUL FNP
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
1363LF0000XFamily Nurse PractitionerRN 092795AZ

General Provider Information

NPI Number : 1083693865
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA DUPAUL FNP
Provider Business Mailing Address
First Line : 6950 E WILLIAMS FIELD RD
Second Line : VA MEDICAL CENTER
City : MESA
State : AZ
Zip : 85212-6033
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6950 E WILLIAMS FIELD RD
Second Line : VA MEDICAL CENTER
City : MESA
State : AZ
Zip : 85212-6033
Country : US
Telephone Number : 602-277-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 04/21/2009

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