Provider Demographics
NPI:1528181559
Name:DUPREE, DENISE (AP,LAC, MAC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:DUPREE
Suffix:
Gender:F
Credentials:AP,LAC, MAC
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:DUPREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DAC, AP, LAC
Mailing Address - Street 1:515 77TH AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-1705
Mailing Address - Country:US
Mailing Address - Phone:941-281-6389
Mailing Address - Fax:
Practice Address - Street 1:1511 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-4411
Practice Address - Country:US
Practice Address - Phone:941-281-6389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000795171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist