Individual
REBECCA LORENE POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
801 E DOUGLAS AVE FL 2, WICHITA, KS 67202-3548
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST., 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-79843-102
KS
363LF0000X
Family Nurse Practitioner
Primary
53-78974-102
KS
363LF0000X
Family Nurse Practitioner
M72390
OK
Other
Enumeration date
08/16/2019
Last updated
04/01/2026
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