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NPI Code Detail

MEDICARE: MRS. DEIRDRE ANN POPE R.N.

MEDICARE:  MRS. DEIRDRE ANN POPE  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN2238592FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114235850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEIRDRE ANN POPE R.N.
Provider Business Mailing Address
First Line : 9900 HIGHWAY 2301
Second Line :
City : YOUNGSTOWN
State : FL
Zip : 32466-2444
Country : US
Telephone Number : 850-722-1999
Fax Number :
Provider Business Practice Location Address
First Line : 9900 HIGHWAY 2301
Second Line :
City : YOUNGSTOWN
State : FL
Zip : 32466-2444
Country : US
Telephone Number : 850-722-1999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 09/15/2010

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Directions to “ MRS. DEIRDRE ANN POPE R.N.” Practice Location

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