KIMBERLY DIANE CANUPP

GAINESVILLE, GA
NPI1619552536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  RN268584)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: GA  RN268584)
Enumeration Date2021-03-11
Last Update Date2023-03-28
Business Address
Ms. KIMBERLY DIANE CANUPP AGACNP
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-219-9000
Mailing Address
Ms. KIMBERLY DIANE CANUPP AGACNP
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420