Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Malar Kuppan, NP

Individual provider Acute Care Nurse Practitioner · NPI 1295216190

Malar Kuppan, NP is a Nurse Practitioner in Glendale, Arizona. Qualified in 2018, 8 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5310 W Thunderbird Rd Ste 202
Glendale, AZ 85306-4712
Phone: (623) 301-9992
Fax: (623) 432-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP11701 (AZ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP11701 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP11701 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP11701 (AZ)

Record details

NPI number1295216190
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address5519 W Banff Ln, Glendale, AZ 85306-3045

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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