Individual
GLEN ROBERT DOPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
Mailing address
PO BOX 521, DEER RIVER, MN 56636-0521
(218) 301-9265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-229298-4
MN
163WC1500X
Community Health Registered Nurse
R-229298-4
MN
163WH0200X
Home Health Registered Nurse
R-229298-4
MN
163WM0102X
Maternal Newborn Registered Nurse
R-229298-4
MN
163WN0003X
Low-Risk Neonatal Registered Nurse
R-229298-4
MN
163WP0200X
Pediatric Registered Nurse
R-229298-4
MN
163WW0101X
Ambulatory Women's Health Care Registered Nurse
R-229298-4
MN
163WX0002X
High-Risk Obstetric Registered Nurse
R-229298-4
MN
363LF0000X
Family Nurse Practitioner
6398
MN
363LF0000X
Family Nurse Practitioner
Primary
77859
NM
Other
Enumeration date
12/29/2015
Last updated
03/02/2025
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