Individual
DEBRALEE ANN POPULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, MSN, FNP
Contact information
Practice address
31330 HIGHWAY 22 STE 101, SPRINGFIELD, LA 70462-7427
(225) 414-0690
(225) 414-0693
Mailing address
31330 HIGHWAY 22 STE 101, SPRINGFIELD, LA 70462-7427
(225) 414-0690
(225) 414-0693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN101773
LA
363LF0000X
Family Nurse Practitioner
Primary
APO4906
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456080
—
LA
Enumeration date
10/23/2006
Last updated
05/30/2013
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