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MRS. DEIRDRE ANN POPE R.N.
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1114235850
Individual Registrant:MRS. DEIRDRE ANN POPE R.N.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
9900 HIGHWAY 2301 YOUNGSTOWN, FL 32466-2444 US
Tel: 850-722-1999 Fax: --
Tel: 850-722-1999 Fax: --
Contact information for business:
9900 HIGHWAY 2301 YOUNGSTOWN, FL 32466-2444 US
Tel: 850-722-1999 Fax: --
Tel: 850-722-1999 Fax: --
Registration Information:
NPI: 1114235850
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | FL | RN2238592 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICAID WAIVER | 000342900 | FL | 01 |
