Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kimberly Tan Supnet, NP

Individual provider Family Nurse Practitioner · NPI 1417720152

Kimberly Tan Supnet, NP is a Family Nurse Practitioner in Scottsdale, Arizona. Licensed in Arizona and Hawaii. Registered with an NPI since 2023.

Licensed in
AZ, HI
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone: (480) 301-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 341773 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-4271 (HI)

Record details

NPI number1417720152
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 3, 2023
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

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