Gillian K Cupp, RN
Individual provider Active NPI Community Health Registered Nurse · Kalamazoo, MI
NPI 1831600824 · NPPES record last updated Oct 17, 2017
Key facts
- NPI
- 1831600824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 4704320763 (MI)
- Practice address
- 418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334 - Phone
- (269) 553-8019
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704320763 | MI | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay P. South, Ma PLLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 4704320763 | MI | Yes |
Addresses
Primary practice location
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Mailing address
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Other providers in Kalamazoo, MI
- Braddock T Cummins
- Christopher Cummins
- Jashanea Cummins
- Louretta Cunningham-Powell
- Thomas Cunningham
- Alaina Curd
- Alicia Curry
- Debora Curry
- Theresa J. Curtin
- Courtney Curtis
All providers in Kalamazoo, MI · Community Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.