Provider Demographics
NPI:1033455795
Name:CZUPRYN, MARIA PILAR (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PILAR
Last Name:CZUPRYN
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:4371 VERONICA S SHOEMAKER BLVD
Mailing Address - Street 2:ATTN: CREDENTIALING DEPARTMENT
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-2216
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:1400 N US HIGHWAY 441
Practice Address - Street 2:SUITE 552
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8975
Practice Address - Country:US
Practice Address - Phone:352-753-9777
Practice Address - Fax:352-753-9781
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2013-01-29
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9189650363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner