Healthcare Provider Details

I. General information

NPI: 1073209276
Provider Name (Legal Business Name): ALLISON MARIE POPA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 E ACOMA DR
SCOTTSDALE AZ
85254-3553
US

IV. Provider business mailing address

7010 E ACOMA DR
SCOTTSDALE AZ
85254-3553
US

V. Phone/Fax

Practice location:
  • Phone: 480-575-0576
  • Fax: 480-575-0512
Mailing address:
  • Phone: 480-575-0576
  • Fax: 480-575-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03230359
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: