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Individual
RUTH M POPPELE
Active
Individual
RUTH M POPPELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71002005A
IN
363L00000X
Nurse Practitioner
28148722A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002005A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200868730
—
IN
Enumeration date
11/30/2005
Last updated
07/22/2026
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