MALAR KUPPAN NP NPI 1295216190

NPI Information

NPI: 1295216190
Provider Name: MALAR KUPPAN, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5519 W BANFF LN
GLENDALE, AZ
ZIP 85306
Phone: (623) 261-5258
Get Directions

Malar Kuppan, NP is a psychiatric/mental health nurse practitioner in Glendale, AZ with 6 years of experience. Malar Kuppan, NP NPI is 1295216190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5519 W BANFF LN
GLENDALE, AZ
ZIP 85306-045
Phone: (623) 261-5258

The NPI 1295216190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 5/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP11701	ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP11701	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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