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Individual

AMY MARIE POPPLEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 396-5151
Mailing address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95272946
CA
363LF0000X
Family Nurse Practitioner
Primary
95029040
CA

Other

Enumeration date
03/24/2023
Last updated
01/10/2025
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