| NPI | 1780161869 |
|---|---|
| Doing Business As | POPHEALTHCARE MEDICAL SERVICES OF MN, PC |
| Entity Type | Organization |
| Authorized Contact | MELINDA HENDERSON Chief Medical Director 615-585-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |