Individual
MRS. KORENA LYNN POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
313 3RD STREET, KAMIAH, ID 83536-1108
(208) 935-0733
(208) 935-1005
Mailing address
PO DRAWER 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
27371
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1528A
ID
Other
Enumeration date
12/21/2006
Last updated
07/28/2020
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