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WANDA MARIE POPLIN APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1346797982

Individual Registrant:
 WANDA MARIE POPLIN APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4004 LOUISA RD  CATLETTSBURG, KY 41129-1091 US
Tel: 606-739-6095  Fax: 606-739-8252

Contact information for business:
P.O. BOX 1595  ASHLAND, KY 41105-1595 US
Tel: 606-408-6200  Fax: 606-408-6612

Registration Information:
NPI: 1346797982
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
KY3010530

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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