Individual
MS. BRENDA J POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
IHA WATERFORD PRIMARY CARE, 4400 HIGHLAND RD, SUITE 100, WATERFORD, MI 48328
(248) 618-6000
(248) 618-6951
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(248) 674-9300
(248) 674-9309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704167009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F337710
BCBSM
MI
Enumeration date
01/04/2007
Last updated
07/15/2022
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