Korena Popp Fnp Medical Services LLC

NPI #1093368276 in Donnelly, Idaho

Provider Information

NPI Number: 1093368276
Entity Type: Organization
Organization Name: Korena Popp Fnp Medical Services LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jul 17, 2019
Last Updated: Jul 17, 2019

Practice Location

Address: 454 W ROSEBERRY RD. STE 104
City: Donnelly
State: Idaho
ZIP Code: 83615-8361
Phone: (208) 325-3500

Authorized Official

Name: KORENA LYNN POPP
Title: NP
Phone: (208) 325-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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