DR. DAVID EMANUEL LUP DNP, FNP-C
NPI 1306503396
Nurse Practitioner in Peoria, AZ

Active since November 24, 2021
7155 W WILLOW AVE, PEORIA, AZ 85381(623) 300-6581(623) 321-8488 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2022, Nov 24, 2021 (2 updates tracked since 2021).

About Dr. David Emanuel Lup Dnp, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID EMANUEL LUP DNP, FNP-C (NPI 1306503396) is an individual nurse practitioner in Peoria, Arizona, licensed in Arizona (271415) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1306503396
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. DAVID EMANUEL LUPCredential: DNP, FNP-C
Location Address7155 W WILLOW AVEPeoria, AZ 85381-6062
Mailing Address7155 W Willow AvePeoria, AZ 85381-6062 · (623) 300-6581 · Fax (623) 321-8488
Fax(623) 321-8488
Sole ProprietorYes
Enumeration DateNovember 24, 2021
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
NPI 1306503396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · 271415
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN197310 (AZ)
7155 W WILLOW AVE, Peoria, AZ 85381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306503396, enumerated as an "individual" on November 24, 2021.

The provider is located at 7155 W WILLOW AVE PEORIA, AZ 85381 and the phone number is (623) 300-6581.

Nurse Practitioner with taxonomy code 363L00000X.