Individual
DIANE M POPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 231589
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 231589
STATE LICENSE
OH
Enumeration date
03/16/2016
Last updated
07/24/2020
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