Individual
HOLLY POPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-4304
(660) 562-4308
Mailing address
817 S ALVIN ST, MARYVILLE, MO 64468-3075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024032106
MO
Other
Enumeration date
08/14/2024
Last updated
09/05/2024
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