Healthcare Provider Details

I. General information

NPI: 1821507419
Provider Name (Legal Business Name): KRISTI POPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 MILL ST STE 100
HAGERSTOWN MD
21740-6170
US

IV. Provider business mailing address

500 SW 7TH ST STEA205
RENTON WA
98057
US

V. Phone/Fax

Practice location:
  • Phone: 877-522-1275
  • Fax: 833-888-7145
Mailing address:
  • Phone: 877-522-1275
  • Fax: 833-888-7145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberR153028
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR153028
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR153028
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: