Provider Demographics
NPI:1477238889
Name:ZUPFER, HOPE LYNNE (PA-C)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:LYNNE
Last Name:ZUPFER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12127B N STATE HWY 14 STE 5
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREST
Mailing Address - State:NM
Mailing Address - Zip Code:87008-9557
Mailing Address - Country:US
Mailing Address - Phone:505-814-1333
Mailing Address - Fax:
Practice Address - Street 1:12127B N STATE HWY 14 STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-9557
Practice Address - Country:US
Practice Address - Phone:505-814-1333
Practice Address - Fax:505-281-2463
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPA2024-0132363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty