MRS. DIANNE GENENE TUPPER R.N. OPA-C NPI 1740578103

NPI Information

NPI: 1740578103
Provider Name: MRS. DIANNE GENENE TUPPER, R.N., OPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
12301 N WESTERN AVE STE 101
OKLAHOMA CITY, OK
ZIP 73114
Phone: (405) 757-8338
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MRS. Dianne Genene Tupper, R.N., OPA-C is a medical physician assistant in Oklahoma City, OK. MRS. Dianne Genene Tupper, R.N., OPA-C NPI is 1740578103. 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:

12301 N WESTERN AVE STE 101
OKLAHOMA CITY, OK
ZIP 73114-017
Phone: (405) 757-8338
Fax: (405) 715-7179

The enumeration date for this NPI number is 7/19/2011 and was last updated on 6/8/2023.

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	163WX0800X	Registered Nurse	Orthopedic	R0083080	OKLAHOMA	No
2	163WX0800X	Registered Nurse	Orthopedic	83080	OKLAHOMA	No
3	363AS0400X	Physician Assistant	Surgical	1148	OKLAHOMA	No
4	363AM0700X	Physician Assistant	Medical	1148	OKLAHOMA	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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