Individual
KATHRYN POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 977-0275
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3056
MN
363LP0200X
Pediatric Nurse Practitioner
R-137276-6
MN
Other
Enumeration date
04/02/2014
Last updated
02/23/2024
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