Individual
LAURA SUSAN POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 721-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 721-8000
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
515938
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
NP95000765
CA
Other
Enumeration date
09/01/2011
Last updated
09/29/2014
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