Individual
MICHAEL R POPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1850 W MAIN ST, CABOT, AR 72023-2745
(501) 605-0009
Mailing address
1850 W MAIN ST, CABOT, AR 72023-2745
(501) 605-0009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A004981
AR
363LF0000X
Family Nurse Practitioner
Primary
A004981
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801332002
—
AR
Enumeration date
01/11/2017
Last updated
03/25/2022
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