Provider Demographics
NPI:1841556883
Name:KUPIS BIGAS, MARIE ELAINE (CRNP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ELAINE
Last Name:KUPIS BIGAS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 BLAIR MILL RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2223
Mailing Address - Country:US
Mailing Address - Phone:717-461-6108
Mailing Address - Fax:888-816-8109
Practice Address - Street 1:219 REECEVILLE RD # 2
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1546
Practice Address - Country:US
Practice Address - Phone:610-383-8470
Practice Address - Fax:610-383-8295
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP0120362084P0800X, 363LA2200X
PASP024987363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health