Individual
MRS. MICHELE MINTZ POPULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8090 MARKET ST, WILMINGTON, NC 28411-0012
(910) 341-3300
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224391
NC
363L00000X
Nurse Practitioner
Primary
5016015
NC
Other
Enumeration date
03/17/2022
Last updated
01/11/2023
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