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NPI Code Detail

MEDICARE: TERI A TUPPER ARNP

MEDICARE: TERI A TUPPER ARNP
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
1363L00000XNurse PractitionerAP30004871WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932192002
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI A TUPPER ARNP
Provider Business Mailing Address
First Line : 6001 N. MAYFAIR
Second Line :
City : SPOKANE
State : WA
Zip : 99208
Country : US
Telephone Number : 509-462-2273
Fax Number : 509-462-2275
Provider Business Practice Location Address
First Line : 6001 N MAYFAIR ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1129
Country : US
Telephone Number : 509-462-2273
Fax Number : 509-462-2275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 09/20/2011

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Directions to “ TERI A TUPPER ARNP” Practice Location

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