Healthcare Provider Details

I. General information

NPI: 1346504479
Provider Name (Legal Business Name): MARIA DARLENE HOPPER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S NATIONAL AVE STE 700
SPRINGFIELD MO
65807-5210
US

IV. Provider business mailing address

1414 E PRIMROSE ST STE 100
SPRINGFIELD MO
65804-4283
US

V. Phone/Fax

Practice location:
  • Phone: 417-885-3888
  • Fax:
Mailing address:
  • Phone: 417-885-3888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2012002573
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: