Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLARD KEITH CUPP III, PMHNP
ActiveMR. WILLARD KEITH CUPP III, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in ELKHART, Indiana. NPI 1265021406 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · ELKHART, IN
Registration Details
- NPI Number
- 1265021406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2021 (5.5483250223248 yrs)
- Last Updated
- Nov 3, 2023
- License
-
71010753A (IN)
Practice Information
- Address
-
236 SIMPSON AVEELKHART, IN, 465164666Browse IN providers · Browse ZIP 46516
- Phone
- 5742930052
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in ELKHART, IN
| Name | Credential | NPI |
|---|---|---|
| LISA KIRKTON | — | 1669920146 |
| ANDREA LYNN MILLER | APN | 1508304304 |
| AMBER LYNN HERMAN | NP | 1750072922 |
| ADAM ROBERT PEILA | PMHNP-BC | 1194589804 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.