ALYCEA NOEL PUPP APNP NPI 1508264839

NPI Information

NPI: 1508264839
Provider Name: ALYCEA NOEL PUPP, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5302 FULLER ST
WESTON, WI
ZIP 54476
Phone: (715) 219-8950
Get Directions

Alycea Noel Pupp, APNP is a family nurse practitioner in Weston, WI. Alycea Noel Pupp, APNP NPI is 1508264839. 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:

5302 FULLER ST
WESTON, WI
ZIP 54476-101
Phone: (715) 219-8950
Fax: (715) 692-0246

The NPI 1508264839 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 12/19/2014 and was last updated on 3/27/2022.

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	207Q00000X	Family Medicine		6153-33	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	6153	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	160594	OTHER	WISCONSIN	RN LICENSE

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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