Individual
BONNIE LEIGH POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 816-8622
Mailing address
102 ST LUCIA, LAKEWAY, TX 78734-5325
(512) 669-2471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
143020
TX
363LF0000X
Family Nurse Practitioner
Primary
AP143020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404364801
—
TX
Enumeration date
10/22/2019
Last updated
09/14/2021
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