Doctor Name: | SANDRA POPE |
NPI Number: | 1518314855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 540505 |
Business Practice Address: | 201 Comerciantes Blvd Santa Teresa, NM - 880089669 |
Business Phone Number: | 5755893438 |
Business Fax Number: | |
Mailing Address: | Po Box 70, ANTHONY |
State: | NM |
Postal Code: | 880210070 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/17/2016 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 540505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |