Individual
KIMBERLY RUTH POPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
916 PACIFIC AVE, FIRST FLOOR, EVERETT, WA 98201-4147
(425) 258-7390
(425) 258-7379
Mailing address
909 N BROADWAY, PBO, EVERETT, WA 98201-1409
(425) 317-0699
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005862
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9631375
—
WA
Enumeration date
09/29/2006
Last updated
04/05/2012
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