Provider Demographics
NPI:1689627895
Name:CUPIT, MARIE HOLT (APRN)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:HOLT
Last Name:CUPIT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 CENTRE PARK WEST DR STE 175
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6466
Mailing Address - Country:US
Mailing Address - Phone:561-242-3009
Mailing Address - Fax:561-690-0336
Practice Address - Street 1:2101 CENTRE PARK WEST DR STE 175
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6466
Practice Address - Country:US
Practice Address - Phone:561-242-3009
Practice Address - Fax:561-242-3010
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2202832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP49088Medicare UPIN